Pathologic 3 on Steam - User reviews, Price & Information
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In this psychological horror game, you are a doctor with only 12 days to save a town from a mysterious plague. Make ruthless decisions and diagnose with precision. Shape the town's future and rewrite the past. Hold yourself together while it all falls apart.
Pathologic 3 is a psychological horror, horror and story rich game
developed by Ice-Pick Lodge
and published by HypeTrain Digital.
Released on January 09th 2026 is available only on Windows
in 2 languages: English and Russian.
It has received 2,487 reviews of which 2,023 were positive and 464 were negative resulting in a rating of 7.8 out of 10. 😊
The game is currently priced at 34.99€ on Steam, but you can find it for 6.76€ on Gamivo.
The Steam community has classified Pathologic 3 into these genres:
Media & Screenshots
Get an in-depth look at Pathologic 3 through various videos and screenshots.
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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 7/8/10/11 (64-bit)
- Processor: i3 / Ryzen 5
- Memory: 8 GB RAM
- Graphics: NVIDIA GeForce GTX 960
- 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.
If you look at the negative reviews they boil down to being confused about why the game is non-linear, the new travel system and the lack of traditional survival mechanics, which is interesting considering how WELL the devs have communicated all of these changes and what this game actually was going to be. So if you don't read or look into things before buying them you may as well give Baldurs Gate 3 a bad review cause its terrible as a First Person Shooter. I guess I went in with the right expectations because I'm loving it so far. It's a really creative concept, an interesting take on the pathologic world and it's really good at what it does. Despite all the changes it still truly feels like a Pathologic game, as it keeps the spirit of what the game actually is, and it feels like a really refreshing way to return to the town after all these years. I'm really glad the devs decided to make something new instead of just making bachelor from the first game with updated graphics. The story is really fun, and the time travel mechanics make it feel more involved for me at least, as exploring decisions and outcomes it more accessible than it was in pathologic 2, considering how long the game was. It also lets the devs be a bit more bold with the consequences, which made me really paranoid. The Apathy/Mania mechanic also makes me feel a need to think carefully about my responses as once my character shot themselves after talking to children for too long (mood honestly). But it is also interesting playing this version of the bachelor who is on the edge of their sanity. Lastly the doctor machanics & city governing stuff are really fun and interesting, though I don't think I would recommend the game for someone who is only interested in that stuff. I think people who enjoy the franchise for its absurdity, characters and story are gonna love this no matter what, which has always been the very core of the games anyway. There are some negatives, but nothing that has a major impact on my enjoyment of the game. There are some bugs, and I think its a bit weird that the children are the main source of medicine and somehow have more of it than the hospital itself. Idk if thats intentional or if there is a lore reason, but it frustrated me a bit having to run all over town and trade nuts and trinkets just so I could do my job. Although that has definitely always been a core mechanic of the franchise, so I guess thats something most of the negative reviews cant complain about. Overall I went in with an open mind and found an incredible and addictive experience, and its a game I'll be talking about and recommending to people at least until Pathologic 4 comes out with Clara's story.
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I have perused the reviews a bit and have found myself confused by some of the negative reviews. Let me preface everything and say I understand that this game is easier than Pathologic 2 due to the main mechanic of the game allowing you to fix mistakes made, but that doesn't make it any less of a great game. Some people still find the game too hard, while those who loved the absolute hell of the previous games (myself included), are unhappy that this game does not completely continue that cycle (not myself included). Pathologic 3 is extremely well optimized, has an artsy and poetically confusing story that rips reality apart, and has medical investigation mechanics that I find wonderfully executed. The apathy and mania meter had me a bit questioning of it at first, but after kicking enough trash cans and sprinting at beyond the speed of light (faster than sonic ever wishes he could go), I have found one simple conclusion; this mechanic is FUN. Sure it's not completely brutal and may feel off for a Pathologic game, but COME ON the mechanic is extremely fun and gives for some insanely entertaining moments where you are sprinting past a mob of angry citizens or death itself. My main cons with the game consist of one low priority issue and one high priority issue. On the lower end, I myself am playing at the highest possible draw distance and it still feels really low considering the game is no longer open world like the previous one was. Things popping in and out without letting me see it from my total distance in these small areas does not feel good at all. On the higher priority end, I am having an issue despite my drivers all being up to date where the audio is popping in and out in infected areas. It is extremely annoying and has me want to actually mute the game entirely which is not great considering there is an entire sound mechanic in these areas (iykyk). Otherwise, this is an improvement over the previous game in nearly every level. It is by far worth more than the $28 USD that I paid for it. HIGHLY RECOMMEND BABBBYYY
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If you have never played a Pathologic game before: Pathologic 3 is a survival horror game focused primarily on its story. The game has a heavy emphasis on the atmosphere of the town you will be exploring. The game evokes strong feelings, from the expertly written dialogue to the plague-demon chase sequences through infected districts. Unlike modern horror games, it does not rely on cheap jumpscares--instead focusing more on letting the player stew in their own, anxiety-ridden thoughts. If you like reading and have time to kill, I think you will generally enjoy Pathologic 3. If you have played either of the previous Pathologic games: This game is a massive change of pace. It is extremely different. Comparing difficulty between this and 2 is like comparing apples to oranges, the mechanics are so radically different that it would be disingenuous to force a comparison. Pathologic 2 was hard, and so is 3 (however, they are hard in different ways). If Pathologic 3 were an alcoholic beverage, it would be a craft beer. While I loved drinking the 100% grain alcohol of Pathologic 1 and the cabernet noir of Pathologic 2, it is really refreshing to give my taste buds a break from the burning and focus on expanding my flavor profile. It isn't just stress, trauma, and regret--there's humor, respite, and moments where you actually feel like you're making progress (there's still a 'lot' of stress, however). I can be genuinely kind and empathetic towards the companions in the hospital, fight yell and argue with the bureaucratic forces in control, and breakdown at the verge of tears opening up to Eva when I come home at night. Unlike the previous games, Pathologic 3 feels more well-rounded and polishes what was already dominant writing and design. Considerations: I also want to mention that this game, despite the appearance of early-launch bugs and glitches, is much better optimized than Pathologic 2 was (for me). I also genuinely like the changes to the dialogue, user interface, visual effects, music ... this game feels modernized in all of the right ways. Especially since it fits the character of The Bachelor. Final thoughts: I am a "long-time" fan of the franchise since 2018 and I must point out how absolutely blessed I am to get a refreshing entry in the pathologic series more than 20 years after the original game. Though I am 9 hours in as of writing this, I have been genuinely enjoying what I have played so far. There have been many moments where I screamed, happy sad and in genuine rage. Pathologic 3 is a worthy sequel. Not many franchises and not many studios have this level of attention. It is truly special. If you were thinking of getting the game, I would suggest waiting for it to go on sale (which it is currently until Jan 23rd). The team clearly put a lot of work and care into this game, and fans should show their support so Ice-Pick Lodge can keep thriving. Or, at least, until Pyrocynical eventually finds out.
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I think the sooner players realize this is a Noir Detective Mystery Thriller with time travel and mental health themes and not another Hobo-Survival-Simulator or "Horror Game" the more fun they will have.
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You know the phrase "In russian literarute everyone suffers. The characters, the author, and the reader." Pathologic games are the embodiment of this it. I waited for this game for so long and its finally out! I already played for 2 hours and it's fantastic! Ice-Pick Lodge cannot disappoint. For steam deck users - controls are perfectly supported , but you'll need to lower graphics for smoother experience.
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Frequently Asked Questions
Pathologic 3 is currently priced at 34.99€ on Steam.
Pathologic 3 is currently not on sale. You can purchase it for 34.99€ on Steam.
Pathologic 3 received 2,023 positive votes out of a total of 2,487 achieving a rating of 7.84.
😊
Pathologic 3 was developed by Ice-Pick Lodge and published by HypeTrain Digital.
Pathologic 3 is playable and fully supported on Windows.
Pathologic 3 is not playable on MacOS.
Pathologic 3 is not playable on Linux.
Pathologic 3 is a single-player game.
There are 2 DLCs available for Pathologic 3. Explore additional content available for Pathologic 3 on Steam.
Pathologic 3 does not support mods via Steam Workshop.
Pathologic 3 does not support Steam Remote Play.
Pathologic 3 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 3.
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 | 22 April 2026 00:04 |
|---|---|
| SteamSpy data | 25 April 2026 05:46 |
| Steam price | 30 April 2026 12:54 |
| Steam reviews | 30 April 2026 04:00 |
If you'd like to dive deeper into the details about Pathologic 3, 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 3
- SteamCharts - Analysis of Pathologic 3 concurrent players on Steam
- ProtonDB - Crowdsourced reports on Linux and Steam Deck Pathologic 3 compatibility
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Game modes
Features
Online players
50
Developer
Ice-Pick Lodge
Publisher
HypeTrain Digital
Release
09 Jan 2026
Platforms
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