Pathologic 2 on Steam - User reviews, Price & Information

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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.

Pathologic 2 is a story rich, atmospheric and choices matter game developed by Ice-Pick Lodge and published by tinyBuild.
Released on May 23rd 2019 is available only on Windows in 2 languages: English and Russian.

It has received 10,915 reviews of which 10,034 were positive and 881 were negative resulting in a rating of 8.9 out of 10. 😎

The game is currently priced at 33.99€ on Steam, but you can find it for less on Gamivo.

The Steam community has classified Pathologic 2 into these genres:

Story Rich Atmospheric Choices Matter RPG Difficult Survival Detective Immersive Sim Singleplayer Psychological Horror Surreal Survival Horror Open World Dystopian Adventure Dark Indie First-Person CRPG Isometric

Media & Screenshots

Get an in-depth look at Pathologic 2 through various videos and screenshots.

System requirements

These are the minimum specifications needed to play the game. For the best experience, we recommend that you verify them.

Windows

OS *: Windows 7/8/10 (64-bit)
Processor: i3 (8/9 Generation) ~3 Ghz / Ryzen 5
Memory: 8 GB RAM
Graphics: NVIDIA GeForce GTX 660
DirectX: Version 11
Storage: 25 GB available space
Sound Card: Integrated
Additional Notes: 64-bit OS is required.

User reviews & Ratings

Explore reviews from Steam users sharing their experiences and what they love about the game.

Jan. 2026

Pathologic 2 is most emphatically not for everyone. It's (just like its predecessor) initially difficult to grasp or appreciate, both mechanically and narratively speaking. Most people understandably don't have the time or patience to experience what Pathologic 2 has to offer. And there's nothing wrong with that. It's not by any means a customary game in the sense that it can be easily categorized. If I were to describe Pathologic 2 to someone who has never played it, I would be inclined to call it a melancholy immersive sim with strong narrative elements, so strong in fact that the game's multifaceted narrative(s) (there are actually stories within stories contained within the nameless Town-on-the-Ghorkhon) rivals what is traditionally considered great literature. On the surface Pathologic 2 is about a plague ravaging a town populated by eccentric characters. But the truth, which becomes more and more apparent as you "play" the game, is that Pathologic 2 is about everything and nothing all at once. It's so rich in symbolism that it's a miracle it was even conceived by a game studio. It's not a game you "beat" shortly before moving on. No, assuming it's done its intended magic, Pathologic 2 stays with you. You think about the Town-on-the-Ghorkhon and its inhabitants; you think about the significance of this or that event; you think about the elusive intentions of the talented developers. It invites you to travel down so many cerebral corridors that it's downright insane. I could go on and on. But the fact is that Pathologic 2 is inexhaustible as a work of art. I don't know what else to say other than to openly declare how much I absolutely love this thing masquerading as a "game." I hope you end up loving it too.

Dec. 2025

This is that kind of game that buries you alive, but you crawl your way back out with new eyes for the world. The world inside and outside of the game.

Dec. 2025

An engrossing, surreal exploration of a strange town in the Russian steppe that I absolutely had no fun playing. By design. Its constantly stressful, you're mostly just walking around expect when you have to engage is the awkward combat, and its so difficult that you'll often have to repeat sections of it to make progress. This is the intended experience and its great because it will actually instill in you empathy and understanding for the people that inhabit the town and what their own lives are like. That's kind of the magic here, there isn't really much "fun" about playing this game, but you still want to play it. The mysteries are so intriguing and the writing is so compelling that you'll want to push through. In a medium that usually measures value in fun per hour that's pretty significant I think.

Oct. 2025

This game is an ADHD simulator and worst nightmare all in one. There's a million things you have to do, with very little way to know what to prioritize and constantly getting distracted by new quests or finding items in trash cans or delicious egg. The roads are as confusing to navigate as possible and by the time you realize you forgot something important you need to pick up, you're already like halfway across town. And the clock is constantly ticking and you always feel like you're too late for things as time literally gets faster every day. Still less stressful than my life without my meds tho so 10/10.

March 2025

Best game I have ever played after Disco Elysium. I can't even call it a game. It is a unique experience, one of a kind. I believe this game is not for everyone. If you enjoy reading every sentence of beautifully written dialogues, Dostoyevsky-like philosophical questions about life/death/religion/sin and complex game mechanics that replicate the hardship of a real life experience - this is for you. Huge recommendation - don't watch/read anything. It will affect your gameplay. Just try it for 2-3 hours and reach Day 2. If it is for you, you will be absorbed. If it is not, forget about it - it's just not for you and this is perfectly fine.

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Frequently Asked Questions

Pathologic 2 is currently priced at 33.99€ on Steam.

Pathologic 2 is currently not on sale. You can purchase it for 33.99€ on Steam.

Pathologic 2 received 10,034 positive votes out of a total of 10,915 achieving a rating of 8.94.

😎

Pathologic 2 was developed by Ice-Pick Lodge and published by tinyBuild.

Pathologic 2 is playable and fully supported on Windows.

Pathologic 2 is not playable on MacOS.

Pathologic 2 is not playable on Linux.

Pathologic 2 is a single-player game.

There are 3 DLCs available for Pathologic 2. Explore additional content available for Pathologic 2 on Steam.

Pathologic 2 does not support mods via Steam Workshop.

Pathologic 2 supports Remote Play on TV. Discover more about Steam Remote Play.

Pathologic 2 is enabled for Steam Family Sharing. This means you can share the game with authorized users from your Steam Library, allowing them to play it on their own accounts. For more details on how the feature works, you can read the original Steam Family Sharing announcement or visit the Steam Family Sharing user guide and FAQ page.

You can find solutions or submit a support ticket by visiting the Steam Support page for Pathologic 2.

Data sources

The information presented on this page is sourced from reliable APIs to ensure accuracy and relevance. We utilize the Steam API to gather data on game details, including titles, descriptions, prices, and user reviews. This allows us to provide you with the most up-to-date information directly from the Steam platform.

Additionally, we incorporate data from the SteamSpy API, which offers insights into game sales and player statistics. This helps us present a comprehensive view of each game's popularity and performance within the gaming community.

Last Updates

Steam data	18 January 2026 22:05
SteamSpy data	26 January 2026 02:20
Steam price	28 January 2026 20:45
Steam reviews	27 January 2026 15:59

If you'd like to dive deeper into the details about Pathologic 2, we invite you to check out a few dedicated websites that offer extensive information and insights. These platforms provide valuable data, analysis, and user-generated reports to enhance your understanding of the game and its performance.

SteamDB - A comprehensive database of everything on Steam about Pathologic 2
SteamCharts - Analysis of Pathologic 2 concurrent players on Steam
ProtonDB - Crowdsourced reports on Linux and Steam Deck Pathologic 2 compatibility