PCGame

Pathologic Classic HD

First-person survival horror in a town consumed by plague

Ice-Pick Lodge, General Arcade · Published by Good Shepherd Entertainment · Released Oct 29, 2015

ActionAdventureIndieRPG

Reviews
Very Positive
87% of 4,390
Recent reviews
Very Positive
94% of 34 in 30 days
Players
22
daily peak, Nov 7, 2026
Steam Deck
Verified
Last update on Steam
10 years ago
Apr 21, 2016
Minimum PC
HD 4890
2 GB RAM · 2 GB disk
Full requirements

Metacritic: 76/100 (critic reviews)

What is Pathologic Classic HD?

A first-person survival horror adventure set in a remote steppe town during a deadly plague. You choose one of three outsiders, talk to residents, and decide how to use scarce medicine while seeking a cure or an explanation.

For you if...

  • +you like dark stories told through conversation
  • +you enjoy difficult choices about limited supplies
  • +you want to uncover a strange town's mysteries

Not for you if...

  • −you prefer frequent action over conversation and exploration
  • −you want forgiving survival mechanics and a lighter mood

What players say

87% of 4,390 reviews are positive · 94% of 34 in the last 30 days

Players praise the town's atmosphere, writing, and music. Common complaints include long walks between objectives, unclear directions, and awkward combat.

Players over time

▼ -22% vs a month ago

Players online on Steam, one sample a day.

Highest since Sep 2026: 35 players on Oct 4, 2026.

Show the data
DayPlayers
Nov 7, 202622
Nov 6, 202618
Nov 5, 202615
Nov 4, 202628
Nov 3, 202617
Nov 2, 202629
Nov 1, 202617
Oct 31, 202627
Oct 30, 202629
Oct 29, 202621
Oct 28, 202619
Oct 27, 202626
Oct 26, 202618
Oct 25, 202614
Oct 24, 202615
Oct 23, 202618
Oct 22, 202621
Oct 21, 202613
Oct 20, 202618
Oct 19, 202617
Oct 18, 202623
Oct 17, 202615
Oct 16, 202622
Oct 15, 202616
Oct 14, 202622
Oct 13, 202622
Oct 12, 202620
Oct 11, 202624
Oct 10, 202627
Oct 9, 202630
Oct 8, 202623
Oct 7, 202624
Oct 6, 202629
Oct 5, 202619
Oct 4, 202635
Oct 3, 202622
Oct 2, 202621
Oct 1, 202619
Sep 30, 202617
Sep 29, 202615
Sep 28, 202626
Sep 27, 202626
Sep 26, 202612
Sep 25, 202617
Sep 24, 202614
Sep 23, 202618
Sep 23, 202618
Sep 22, 202617

Screenshots and trailer

Pathologic Classic HD screenshot 1

Pathologic Classic HD system requirements

Minimum: HD 4890, 2 GB RAM, 2 GB of disk space.

As published by the developer.

Can my PC run Pathologic Classic HD?

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Minimum

OS
Windows XP or Later
Processor
AMD Athlon 64 2.3 GHz / Intel Pentium 2.2 GHz
Graphics
Radeon HD 4890 1024MB / GeForce 210 512MB
Memory
2 GB RAM
Storage
2 GB available space
DirectX
Version 9.0

Does Pathologic Classic HD have co-op or multiplayer?

No: single-player only, no multiplayer modes declared.

Does Pathologic Classic HD run on Steam Deck?

Verified Yes, Verified by Valve: it works on Steam Deck out of the box.

  • All functionality is accessible with the default controller configuration
  • In-game text is legible on Steam Deck
  • Default graphics settings perform well on Steam Deck
  • External controllers are not supported for the primary player

PC version details

DRM
None declared on Steam
Controller
Full controller support
Platforms
Windows
Achievements
42
Steam features
Cloud saves, Family Sharing, Trading cards
Languages
Full audio: English, Russian. Text only: Polish, Italian.

Does Pathologic Classic HD 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 25, 2026. How to filter AI games on Steam

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