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Pathologic 3

Pathologic 3

|Russia|Role-playing (RPG), Simulator

8.0 /10

Aww Great!

Hot

2.7k ratings
Time to beat
Main
26h
Main + extras
32.5h
Complete
41h
Trailers & screenshots
Why play it

Pathologic 3 is a 2026 Role-playing (RPG), Simulator, Adventure, Indie game rated 8.0/10 from 2.7k ratings, with a main story of about 26h, available on PC (Microsoft Windows), PlayStation 5, Xbox Series X|S.

Pathologic 3 is a psychological horror game in which you play Daniil Dankovsky, a rationalist doctor trying to defeat death itself as the same doomed town collapses around him. It is a standalone follow-up to Pathologic 2 and a reimagining of the Bachelor route from the original Pathologic, rather than a direct sequel or prequel. Its major new distinction is time manipulation: the premise remains a 12-day plague crisis, but the Bachelor can revisit and alter key events, reflecting his obsession with control, causality, and conquering death.

Story and worldbuilding

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.)

Game highlights
Rating momentum

Aww Great!: 8.0/10 across 2.7k ratings. Word of mouth is strong — if you like the genre, go for it.

Play style

Leans into Role-playing (RPG), Simulator, Adventure, with a main story around 26h. Check if that style and time commitment fit you.

Reviews

20 media reviews

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Media

Member

PC GamerDominic Tarason · 22 Jan, 2026
8/10

Intentionally and unintentionally thorny, but still one of the most compelling mystery adventures since Disco Elysium.

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EntertainiumGareth Brading · 19 Mar, 2026
7/10

Pathologic 3 arguably offers the best entry point to this unique series for newcomers.

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Oyungezer OnlineOnur Kaya · 3 Mar, 2026
8.5/10

A highly satisfying time travel game that pushes the boundaries of the "remake" concept with its unique atmosphere and writing.

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Digitale AnimeMehdi Belhamra · 3 Mar, 2026
8.5/10

"A Harsh and Innovative Philosophical Experience" Pathologic 3 is not a conventional game, but a thought experiment that puts time at the player's disposal and transforms failure into a pivotal design tool. Its depth lies not in combat, but in managing psychological resources, making moral decisions, and reshaping days in pursuit of a better outcome. Despite technical issues, the title remains a bold proposition that redefines the relationship between the player and time within role-playing games. It's an experience that demands patience and commitment, but rewards those who embark on it with one of the most distinctive philosophical journeys of its generation.

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GamingTrend5 Feb, 2026
9/10

Pathologic 3 takes the series in a brand new, totally unique direction fitting for the Bachelor. While the game lacks the boots-on-the-ground trials and tribulations of 2, focusing on the bigger picture, it depicts the fate of the Town on Ghorkon in a fascinating fashion. You'll have a fun time fighting the plague here, and will be thinking about this game for years to come.

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GameSpewChris McMullen · 2 Feb, 2026
8/10

A rich psychological horror, Pathologic 3 is a tad more forgiving but no less demanding than its predecessors. With a complex but never impenetrable timey-wimey story, it puts the weight of the world on your shoulders and you'll be grateful for it.

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MonsterVineBranford Hubbard · 2 Feb, 2026
2/10

Pathologic 3 is a bizarre remake of a game from 2005 that seems to combine the worst elements from Persona 5 and the Arrow TV series, and wants you to think that it’s somehow compelling. Its lack of atmosphere and plain dressing sap any curiosity I had, and the need for the game to hide even the most basic of information may attract the equivalent of horror game Soulslike fans, but I’d urge anyone to stay away. Somewhere in Pathologic 3, there’s a very interesting Trauma Center game with plenty of lore, decisions to make, and patients to save. Unfortunately, a time-travel and horror story is grafted onto it. Horror fans, you deserve better.

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Pixel ArtsAmirhossein Dehnavi · 30 Jan, 2026
9/10

Pathologic 3 is a bold reinvention of the cult classic survival horror. By shifting the focus from physical survival to medical investigation and time manipulation, Ice-Pick Lodge has created a cerebral, haunting masterpiece. While technical hiccups persist, the narrative depth and the unique "Doctor Simulator" mechanics make it an essential experience for fans of atmospheric horror.

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SECTOR.skDarrian151 · 27 Jan, 2026
8/10

Pathologic 3 is like a roller coaster ride that first tires you out, then disgusts you, but ultimately fills you with pure wonder. It's not a game for everyone. The main protagonist may not be a likable companion, but his fight against death is one of the solid stories you'll remember for a while.

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UagnaSilvia Mannu · 27 Jan, 2026
8/10

Pathologic 3 marks the arrival of the third chapter in a unique saga, one that will be remembered not so much for its refined gameplay, but for its decidedly memorable storytelling and narrative style. Its gruesome atmosphere confronts us with contemporary dilemmas and a horror we can relate to.

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