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Pathologic 3

In this psychological horror game, you are a doctor with only 12 days to save a town from a mysterious plague. Make ruthless decisions and diagnose with precision. Shape the town's future and rewrite the past. Hold yourself together while it all falls apart.

Released Jan 9, 2026Very Positive · 80% of 2.6KPEGI 18≈ 33 h to beat
Steam Deck PlayableAdventureIndieRPGSimulationPsychological HorrorHorror
Pathologic 3
Pathologic 3
Pathologic 3
Pathologic 3
Pathologic 3
Pathologic 3
Pathologic 3
Pathologic 3
Pathologic 3
Pathologic 3
Pathologic 3
Pathologic 3
Developer: Ice-Pick Lodge
Publisher: HypeTrain Digital
Pathologic 3
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About Pathologic 3

What awaits you in Pathologic 3?

Pathologic 3


About the Game

Pathologic 3

Pathologic 3 is a psychological horror game where you have only 12 days to save a town from a mysterious plague.

You are Daniil Dankovsky: physician, researcher, prodigy. Your research into the nature of death has brought you to this remote town deep in the eastern steppe, looking for a man said to be immortal.

But the outbreak of a deadly contagion sweeps through the town. The immortal man is dead. You failed to stop it.

Now you must return to the beginning. Fix your mistakes. Save the town.

Pathologic 3Every minute counts. Save them all, discover the secrets of immortality... don't go mad in the process.

Pathologic 3Bring your medical training to bear. Observation and knowledge are your tools. Work with patients face-to-face.

Examine the sick and make diagnoses. Each patient is a unique story — and a medical mystery. They may lie, omit the truth, or hide their motives. You must separate fact from fiction, and identify the real symptoms. Step by step, you'll get closer to developing a vaccine that could change everything.

Pathologic 3Fight for every new day. Ensure the town's survival by imposing your own rules: enforce quarantines, confiscate precious medicine, vaccinate the population, suppress riots, deploy patrols, and declare curfews.

You will make mistakes, face their consequences, and unlock new decrees. Your actions will shape the town—even if the people grow to hate you for it. Power is in your hands. It's up to you whether the streets will see gunfire or fireworks.

Pathologic 3Made a mistake? Go back, and fix it.

Time is your tool for navigating a narrative web filled with moral dilemmas and branching paths. Rewind if you think you could have done better. Keep your eye on your ultimate goal—even if the road there is paved with sacrifices.

Pathologic 3How far will you go to find the truth? Your mental state directly affects your actions, and even how you interpret events. Falling into apathy or wandering into mania may lead you to new insights... or to your death.

Story

Show

Bachelor Daniil Dankovsky is a young doctor from the capital. His search for the secret of immortality brings him to a remote town, gripped by a mysterious plague that will destroy it in 12 days. Now it’s up to him to explore the town itself, its past, present, and future — to find answers to his numerous questions and try to stop the relentless epidemic. (At least… that’s what he thinks this story is about. What it’s supposed to be about. What it’s always been about.)

Trailers

Trailer
Trailer
Release Date Trailer
Launch Trailer

Game details

Developers
Ice-Pick Lodge
Publishers
HypeTrain Digital
Release date
Jan 9, 2026
Genres
Adventure, Indie, RPG, Simulation, Psychological Horror, Horror, Story Rich, Atmospheric, Survival Horror, Psychological, Choices Matter, Remake, First-Person, Surreal, Immersive Sim, Detective, Dystopian, Survival, Lovecraftian, Difficult, Open World
Modes
Single-player
Controller
Full controller support
Steam features
72 achievements, Steam Cloud, Family Sharing, Trading cards
Themes
Horror, Thriller, Survival, Drama, Open world, Mystery
Camera
First person
Series
Pathologic
Engine
Unity

Languages

LanguageInterfaceFull audioSubtitles
EnglishSupportedSupportedSupported
RussianSupportedSupportedSupported
System requirements

Minimum

  • OS *: Windows 7/8/10/11 (64-bit)
  • Processor: i3 / Ryzen 5
  • Memory: 8 GB RAM
  • Graphics: NVIDIA GeForce GTX 960
  • DirectX: Version 11
  • Storage: 25 GB available space
  • Sound Card: Integrated
  • Additional Notes: 64-bit OS is required

Recommended

  • OS *: Windows 7/8/10 (64-bit)
  • Processor: i7 / Ryzen 7
  • Memory: 16 GB RAM
  • Graphics: NVIDIA GeForce GTX 2070
  • DirectX: Version 11
  • Storage: 25 GB available space
  • Sound Card: Integrated
  • Additional Notes: Plays best when loaded from an SSD. 64-bit OS is required

Ratings

Steam reviews

Very Positive

80% of 2.6K

Read reviews on Steam

Metacritic

79

Read on Metacritic

IGDB critics

80

1 critic score

View on IGDB

Age rating

PEGI 18

About PEGI ratings

Steam Deck & Linux

Steam Deck Playable

  • Some text is small and hard to read
  • Default configuration is not performant
  • Everything works with the default controls
  • Shows Steam Deck button icons
  • SteamOS: Playable
  • Steam Machine: Verified

ProtonDB: Gold · 10 reports See reports

DLC & editions

Also on Steam

  • Pathologic 3 - Supporter Pack
  • Pathologic 3 Soundtrack
Comments

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Released - Start playing today!
Release date: Jan 9, 2026

Game data © Valve Corporation, from Steam · ProtonDB community ratings · Game data by IGDB.com