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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.
Read more- Country Compatibility:
- Languages:
- Developer:
- Ice-Pick Lodge
- Publisher:
- HypeTrain Digital
- Engine:
- Unity
- Release date:
- 09 January 2026
- Genre:
- Recent Steam reviews:
- Mostly Positive (69)
- All Steam reviews:
- Very Positive (1062)
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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
Yes. Yes it's different from P2. Yes, it's still quite a bit broken. Yes, it's verbose. Yes, it's longer than all three campaigns of P1 combined. Yes, some characters have been changed. Yes, it's still enthralling. Yes,
"The only human fear worthy of note is fear of failing to find a decent conversation partner. The rest is but a trifle." A must play. A triumph of writing, and a game that has personally impacted me more than any other
The game has multiple ways you can soft lock yourself out of being able win. This sucks because playing the game a second time is not fun and there is no way to skip dialogue options directly affect your in game
I dont know why this is considered a game. Seeing so many positive steam reviews I can help asking if there's a dark office in a third-world where people are contracted to give reviews and let games idle on their pcs to
THIS REVIEW IS FROM SOMEONE AT THIS MOMENT OF POSTING HAS NEVER PLAYED PATHOLOGIC 1, BUT HAS COMPLETED PATHOLOGIC 2 MULTIPLE TIMES. I PREFER PATHOLOGIC 2, BUT THIS GAME IS EXTRAORDINARY!!! Pathologic 3 is indeed about
I'm more than 3 hours in and the game feels completely aimless. The story is chaotic and if it weren't for the fact that I already played Pathologic 2 before, I wouldn't understand anything. There are no main gameplay




