
- 87/100
- Players44 ratings
- 60/100
- Critics1 review
More scores
- Metacritic29 critic reviews
- 70/100
- Metacritic usersuser score
- 86/100
- GameFAQsTough-Unforgiving
- 4/5
- Player reviews
- 92% positive9,626 reviews
- Steam Deck
- Verified
- Runs on
- Windows
- Price
- US$6.99
Where to get it

2005 · Ice-Pick Lodge · Action-adventure · Adventure
Pathologic
Pathologic is a Russian survival-horror/RPG about a remote steppe town collapsing under a plague, with the story told through three playable outsiders: the Bachelor, the Haruspex, and the Changeling. Each route covers the same 12-day catastrophe from a different worldview, but rather than offering a clean mystery to unravel, the game forces you to survive inside a collapsing social order where resources are scarce, motives are unclear, and every explanation of the town feels partial or suspect.
- Released
- 9 June 2005
- Platforms
- Windows
- Genres
- Action-adventureAdventureHorrorIndiePsychological horrorRole-playingShooterSurvival
- Developers
- Ice-Pick Lodge
- Publishers
- Buka Entertainment
- Series
- Pathologic
- Modes
- Single-player
- Perspective
- First person
- Themes
- ActionHorrorSurvivalDramaOpen worldMystery
- Country
- Russia
- Age ratings
- USK 12PEGI 16
- Languages
- English, German, Portuguese (Brazil), Russian
- Entry
- #1 in Pathologic
- Time to beat
- 28hmain story50hcompletionist
- Directors
- Nikolai Dybowskiy
- Composers
- Andriesh Gandrabur
About
Pathologic (Russian: Мор. Утопия, romanized: Mor. Utopiya, IPA: [ˈmor ʊˈtopʲɪjə], lit. 'More.
Utopia' – a pun on Thomas More's Utopia and the Russian word for "plague, pestilence" (мор)) is a 2005 survival game developed by Russian studio Ice-Pick Lodge. The game was released in Russia by Buka Entertainment in June 2005, followed by a localised English release from G2 Games and GMX Games in 2006. An updated version, Pathologic Classic HD, was developed by General Arcade, published by Good Shepard Entertainment, and released in October 2015. A remake of the Haruspex route was developed by Ice-Pick Lodge in the Unity game engine and released as Pathologic 2 in May 2019 by tinyBuild.
›Story
The game is about three characters who are mostly known by their nicknames: two men, Bachelor (Бакалавр) and Haruspex (Гаруспик), and a girl nicknamed Devotress (Самозванка). Each of them tries to uncover the source of a strange lethal sickness known as the "sand plague" that has befallen a small town. Although players can play as each of them, there is only one storyline, which is seen from different points of view depending upon the chosen character. The ability to uncover some secrets depend on which character is being played and the characters also interact with the other two unchosen characters and discuss their progress over the course of the game.
The game takes place in a perpetual world over a time frame of 12 in-game days. Throughout each day, the player receives quests from NPCs, however, the game continues regardless of whether they are completed or not. At exactly midnight of each day, the incomplete quests are erased from the player's notebook. Quests are divided into main missions, (one per day) which decide if a major character will die, and side quests, which earn money and items. Completing main quests is essential to discovering the secrets of the town, as characters can die off early in the game who would otherwise reveal information later in the game.
While trying to discover the secrets of the town, the player's other goal is simply to survive to the end of the 12 days by balancing various resources within the game's fluctuating economy, which represents the harsh "supply and demand" nature of a shut-off disease ridden town.
On the edge of town, there is a great building named Polyhedron (Многогранник), a geometrically impossible structure used as a fortress by children. On the opposite side lies an ominous mountain called the Abattoir, with the Apiary, an insane asylum, next to it. All districts and major buildings of the town are named after body parts and biology.
Players say
Media
The articlegameplay, story, development, reception
Gameplay
The player can select one of the three playable healers listed by their honorifics: The Bachelor (Daniil Dankovsky), Haruspex (Artemy Burakh), and The Devotress, Klara (later re-translated as "The Changeling, Clara"). Only the former two may be played at the beginning of Pathologic, as Clara must be unlocked after completing the game with either the Bachelor or Haruspex. The questlines which are available will depend on the character that is being played. The other unselected characters are present in the town throughout each others' storylines, who at certain points in gameplay the player may encounter.
Each character has a different Mission detailed in their quest book, however, the game's objective is to survive the twelve playable days. Pathologic takes place in a perpetual world over a timeframe of twelve in-game days. Throughout each day, the player receives quests from non-player characters (NPCs); however, the game continues regardless of whether they are completed or not. At exactly midnight of each day, the quests are erased from the player's notebook.
Story
Regardless of the player's choice in player character, each of the three healers tries to uncover the source of a strange lethal sickness known as the "sand plague" that has befallen a small, remote town. Although players can play as each of them, there is only one base storyline, which is seen from the three different points of views of the chosen player character. Minor plot details will change depending on the player, and the ability to uncover some secrets depends on which character is being played. The player may also interact with the other two unchosen characters and discuss their progress throughout the game.
The game's fluctuating economy represents the harsh forces of supply and demand in an isolated, disease-ridden town. All districts and major buildings of the town are named after body parts and biology. On the edge of town, there is a great building named the Polyhedron, a physically impossible structure used as a fortress by children. On the opposite side lies an ominous cattle-slaughtering Abattoir, with a dormitory known as the Apiary (later re-translated as "Termitary") next to it.
Development
Pathologic was the first game developed by Russian studio Ice-Pick Lodge. The game was announced by Russian publisher Buka Entertainment on 30 March 2004, intending to release in the last quarter of the year. The native Russian version of the game was released to manufacturing on 31 May 2005, for release on 9 June. The English-localised version was completed on 20 November 2005 and released by G2 Games in 2006. A German version was published by Frogster Interactive Pictures on 20 April 2006 after being released to manufacturing earlier that month.
Reception
In Russia, Pathologic was critically acclaimed, winning year-end accolades from five Russian outlets. However, its reception in English-speaking countries has been mixed, being both praised for its atmosphere and concept, while panned for its poor translation, outdated graphics and slow-paced gameplay.
Releases by platformdates and regions as published
Editions and related releases
- Followed by
- Pathologic 2
- Remastered as
- Pathologic Classic HD
- Built on it
- Pathologic Classic HD
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Years
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Genres
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Description adapted from its source, CC BY-SA 4.0.

