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Pathologic 2

Pathologic 2

Pathologic 2 is a groundbreaking open-world horror RPG. Resist the plague. Make medicine. Heal people. Perform an autopsy. Trade to get what you need. Fight and kill if necessary. Survive. Struggle with an outbreak in a secluded rural town that is rapidly turning into hell.

92%
Very Positive
DeveloperIce-Pick Lodge
PublishertinyBuild
Release DateMay 23, 2019
$34.99
Peak Players1.4K
Controllerfull
PlatformsWindows
Adventure
Indie
RPG
AI Review Summary

Pathologic 2 is a surreal, brutally difficult survival thriller that prioritizes atmosphere and artistic depth over traditional entertainment. It functions as a piece of interactive Russian literature, offering a soul-crushing but deeply memorable experience for a niche audience willing to endure its punishing survival mechanics.

Pros

  • Exceptional atmosphere and world-building that creates a unique, eerie, and surreal sense of place.95%
  • Deeply impactful narrative that treats the medium as a serious art form akin to classic literature.90%
  • Intriguing mystery and cryptic storytelling that rewards players with a high attention span.80%
  • Unparalleled emotional weight and a sense of genuine consequence for the player's actions.85%

Cons

  • Extremely punishing survival mechanics, such as hunger and exhaustion, can lead to frustrating death loops.90%
  • Gameplay can feel like a walking and repetition simulator with dull, unsatisfying mechanics.85%
  • Technical issues including poor optimization and abysmal performance on some systems.75%
  • Combat system is often described as clunky, buggy, and generally unpleasant.70%
  • The high difficulty and cryptic nature make it inaccessible and 'not fun' for many players.80%

Notable Mentions

  • Reviewers frequently emphasize that the game is intentionally designed to be stressful rather than 'fun.'
  • The game is described as a classic of Russian literature in digital form.
  • One reviewer mentions the release of Pathologic 3 as a context for their review.
Confidence: 64%
Based on the 68 most relevant reviewsGenerated on Oct 19, 2026
Game Vitals

Live snapshot

Player Activity

Current peak
51
Peak · last 90 days
133
All-time peak
1.4K

Price

Current price
$34.99
Lowest tracked
$6.99since Jan 10, 2026

Review Sentiment

Last 30 days
87%
All-time positive
92%
Review Statistics
Total Reviews12.3K
Positive: 11.2K (92%)Negative: 1.0K (8%)

1%

Reviews from Steam Deck

0%

Dev Response Rate

35h

Avg Playtime at Review

74%

Credible Reviews