Average Playtime: 14 hours

Pathologic 3

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About

What awaits you in 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.

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 patiens 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.

Platforms
Release date
Developer
Ice-Pick Lodge
Publisher
HypeTrain Digital
Age rating
Not rated

System requirements for PC

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Last Modified: Jan 29, 2026

Where to buy

GOG

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Pathologic 3 reviews and comments

Pathologic 3 left me with mixed feelings. On one hand, it fully captures the series’ signature psychological survival horror. The plague-ridden town, constant moral dilemmas, and the relentless pressure of the 12-day structure create a uniquely oppressive atmosphere. Ice-Pick Lodge still excels at building discomfort, and the Pathologic universe remains deeply fascinating. On the other hand, technical shortcomings significantly undermine the experience. Dialogue often feels stiff, facial animations are lifeless, and the complete absence of French localization (even subtitles) is a major barrier for many players. The game’s ambition clearly exceeds its means — the 3D visuals aim high but fall short, lacking polish and consistency. At times, it feels like the project would have benefited from a different artistic direction. A stylized pixel-art approach could have reduced costs, allowed for tighter writing and mechanics, and given the game a stronger visual identity. Instead, Pathologic 3 tries to stand alongside much larger productions without the budget to fully support that vision. The slow, repetitive gameplay loop doesn’t help either, often replacing urgency with frustration. At 27.99 € on sale (34.99 € full price), Pathologic 3 is hard to recommend without caveats. Fans of experimental, atmospheric, and deeply unconventional games — especially those comfortable with English — may still find value here. For everyone else, the flaws are hard to ignore. A game full of potential, but one that needed either more time or a more restrained scope to truly shine. Full French review: https://rogueh24.fr/test-du-jeu-pathologic-3/
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