Ludography
77/100
Players14 ratings
80/100
Critics1 review
More scores
Metacritic23 critic reviews
79/100
Metacritic usersuser score
67/100
Player reviews
80% positive2,559 reviews
Steam Deck
Playable
Runs on
Windows
Price
US$32.65

Where to get it

Pathologic 3 cover

2026 · Ice-Pick Lodge · Role-playing · Simulation

Pathologic 3

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.

Released
9 January 2026
Platforms
Xbox Series X/SWindowsPlayStation 5
Genres
Role-playingSimulationAdventureIndie
Developers
Ice-Pick Lodge
Publishers
HypeTrain Digital
Modes
Single-player
Perspective
First person
Themes
HorrorThrillerSurvivalDramaOpen worldMystery
Engine
Unity
Age ratings
ESRB MPEGI 18ACB R 18+USK 18CLASS_IND 18
Languages
Chinese (Simplified), English, German, Italian, Portuguese (Brazil), Russian
Features
Family SharingFull controller supportSingle-playerSteam CloudSteam achievementsSteam trading cards
Time to beat
26hmain story33hwith extras41hcompletionist
›Story

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.)

Players say

Media

Releases by platformdates and regions as published

PlatformReleasedRegions
PlayStation 59 January 2026Worldwide
Windows9 January 2026Worldwide
Xbox Series X/S23 January 2026Worldwide

Editions and related releases

Standalone expansions
Pathologic 3: Quarantine
Built on it
Pathologic 3: Quarantine

Games like this

Added from the IGDB catalog; not on any collection yet.