Pathologic 2 is not easy to recommend cleanly. It is mechanically demanding, deliberately unforgiving, and designed to make you feel the weight of every hour in a plague-ravaged town. The paranoia and social collapse it creates are exceptional. So is the sense that the world is indifferent to your efforts. It missed the top ten because the systems sit between you and the horror in a way that not every player will push through. For those who will, it is one of the most oppressively psychological games ever made.

Overview
About 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.
Story setup
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.
Reference
At a glance
- Released
- June 9, 2005
- Platforms
- PC
- Genres
- Shooter, RPG, Adventure, Indie, Action
- Play modes
- Single Player
- Age rating
- PEGI 16
Media
Screenshots
Click any screenshot to view it full size.
Playing together
Multiplayer & game modes
Pathologic offers various play modes for different gaming experiences.
Play Modes
Single Player
Content
Age ratings
How rating boards around the world have classified Pathologic. Open a board for its content descriptors.
PEGI16
- Bad Language
- Violence
- Fear
USK12
Also in our guides
Often listed alongside Pathologic
Titles that appear in the same guides on this site. Grouped by where they show up, not by recommendation.
Coverage
Featured in our articles
This game appears in 1 article on this site.
#12
Game data and imagery provided by IGDB.com

