Pathologic 3

About

About the Game 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.

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8
Based on
1025 reviews
Country Compatibility:
Languages:
Developer:
Ice-Pick Lodge
Publisher:
HypeTrain Digital
Engine:
Unity
Release date:
09 January 2026
Recent Steam reviews:
Mostly Positive (67)
All Steam reviews:
Very Positive (1025)

Game features

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Description

About the Game

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.

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

Bring 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.

Fight 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.

Made 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.

How 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.

Recommended 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

User reviews

Mullon
Not recommended | 14 May 2026
87.9h played

I had problems with the previous Pathologic games, but I never thought those problems were the result of laziness, or arrogance, or greed. I can understand Ice Pick Lodge wanting to change the gameplay of their series.

Helpful: 19
TheHellfridge
Recommended | 30 Apr 2026
75.2h played

One of the most fascinating games since... well Pathologic 2 I suppose. I recommend this game to basically everyone who loves video games. I am flabbergasted how Ice Pick Lodge managed to return to the Gorgkhon for a

Helpful: 14
Nicken8r
Not recommended | 28 May 2026
23.4h played

It feels as though IPL is attempting to coast off of the goodwill of the community. If this thing wasn't called "Pathologic," I don't think the reviews would be nearly as positive. This franchise has an emotional

Helpful: 13
Wegotour
Not recommended | 03 May 2026
15.0h played

For a game about changing the past n events, the fact that there's a way to easily lock you into a permanent bad end by getting a vision of a bad future like 15 hours in with no way to reverse it is insane. And

Helpful: 13
Gluteus Maximus
Recommended | 24 May 2026
45.0h played

Haven't finished with it just yet but played enough to recommend. Is it as good as Pathologic 2? Please. What an obvious way to set yourself up for disappointment. Of course it isn't. Is it still better than the vast

Helpful: 3
Mattieyar
Not recommended | 30 Apr 2026
4.6h played

Have we played the same thing? It's as if Ice-Pick Lodge commissioned Poppy Playtime team to make a game and judging by the amount of positive reviews it seems no one noticed. Music's great though.

Helpful: 11