Pathologic 3
First-person psychological horror about fighting a plague by rewinding time
Ice-Pick Lodge · Published by HypeTrain Digital · Released Jan 9, 2026
- Reviews
- Very Positive
- 80% of 2,628
- Recent reviews
- Mostly Positive
- 72% of 36 in 30 days
- Players
- 34
- daily peak, Oct 28, 2026
- Steam Deck
- Playable
- Last update on Steam
- 5 days ago
- Oct 23, 2026
Metacritic: 79/100 (critic reviews)
What is Pathologic 3?
This first-person horror adventure follows physician Daniil Dankovsky as he confronts a plague in a remote steppe town. Across twelve days, you examine patients, check their stories against their symptoms, work toward a vaccine, and order quarantines or curfews. Your decisions create branching paths, while your mental state affects your actions and interpretation of events.
For you if...
- +you enjoy surreal settings and a psychologically oppressive mood
- +you like moral dilemmas that affect an entire community
Not for you if...
- −you prefer straightforward stories with little dialogue
- −you want traditional survival focused on scavenging and basic needs
What players say
80% of 2,628 reviews are positive · 72% of 36 in the last 30 days
Players praise the writing and time-travel system. Current feedback still mentions minor bugs; a recent negative review also criticizes a new monster-combat mechanic as unnecessarily difficult.
Screenshots and trailer
Pathologic 3 system requirements
Minimum: GeForce GTX 960, 8 GB RAM, 25 GB of disk space.
As published by the developer.
Can my PC run Pathologic 3?
Tell us your graphics card once and every game page will answer this for you.
Set up my PC →Minimum
- OS
- Windows 7/8/10/11 (64-bit)
- Processor
- i3 / Ryzen 5
- Graphics
- NVIDIA GeForce GTX 960
- Memory
- 8 GB RAM
- Storage
- 25 GB available space
- DirectX
- Version 11
- Notes
- 64-bit OS is required
Recommended
- OS
- Windows 7/8/10 (64-bit)
- Processor
- i7 / Ryzen 7
- Graphics
- NVIDIA GeForce GTX 2070
- Memory
- 16 GB RAM
- Storage
- 25 GB available space
- DirectX
- Version 11
- Notes
- Plays best when loaded from an SSD. 64-bit OS is required
Does Pathologic 3 have co-op or multiplayer?
No: single-player only, no multiplayer modes declared.
Does Pathologic 3 run on Steam Deck?
Playable Playable: it runs on Steam Deck with some adjustments.
- Some in-game text is small and may be hard to read
- Default configuration is not performant
- All functionality is accessible with the default controller configuration
- Shows Steam Deck controller icons
PC version details
- DRM
- None declared on Steam
- Controller
- Full controller support
- Platforms
- Windows
- Achievements
- 72
- Steam features
- Cloud saves, Family Sharing, Trading cards
- Languages
- Full audio: English, Russian.
Does Pathologic 3 use AI-generated content?
No AI-generated content is disclosed on the game's Steam page.
Self-reported by the developer under Steam rules: it covers AI content that ships in the game, not tools used to make it. Steam page checked on Oct 27, 2026. How to filter AI games on Steam
Tags
- Psychological Horror
- Horror
- Story Rich
- Atmospheric
- Survival Horror
- Psychological
- Choices Matter
- First-Person
- Remake
- RPG
- Adventure
- Surreal
- Simulation
- Immersive Sim
- Detective
- Dystopian
Recent updates
- Oct 23, 2026 · Developer's Letter and the Great October Update
- Oct 23, 2026 · October Grand Update: Full Patch Notes
- Jun 25, 2026 · Pain, Difficulty, Shabnak, and Other Topics: A Pathologic 3 Update
- Mar 17, 2026 · Update #6
- Mar 2, 2026 · Update #5
2 DLC available.
