Pathologic Classic HD on Steam - User reviews, Price & Information

Quick menu

Pathologic Classic HD is the Definitive Edition of the original Cult Classic Psychological First-Person Survival game. In this unforgettable experience, players control one of three unique characters as they try to save a mysterious town from a deadly plague that cannot be stopped.

Pathologic Classic HD is a atmospheric, story rich and survival game developed by Ice-Pick Lodge and General Arcade and published by Good Shepherd Entertainment.
Released on October 29th 2015 is available only on Windows in 4 languages: English, Russian, Polish and Italian.

It has received 4,064 reviews of which 3,565 were positive and 499 were negative resulting in a rating of 8.5 out of 10. 😎

The game is currently priced at 12.99€ on Steam, but you can find it for less on Gamivo.

The Steam community has classified Pathologic Classic HD into these genres:

Atmospheric Story Rich Survival Psychological Horror Cult Classic Dark Horror First-Person RPG Singleplayer Great Soundtrack Adventure Indie Difficult Choices Matter Open World Classic Walking Simulator Action

Media & Screenshots

Get an in-depth look at Pathologic Classic HD 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 XP or Later
Processor: AMD Athlon 64 2.3 GHz / Intel Pentium 2.2 GHz
Memory: 2 GB RAM
Graphics: Radeon HD 4890 1024MB / GeForce 210 512MB
DirectX: Version 9.0
Storage: 2 GB available space

User reviews & Ratings

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

Jan. 2026

a game for masochists, folklore fans, self-flagellants, literature enthusiasts, western wannabe commies, the clinically depressed, enjoyers of Terrible Awful Gameplay, fujos, and annoying people who keep an 100% guide in another tab whenever they play a game. it is perfect.

Jan. 2026

This game not only actively hates you, but it also makes sure you know it every step you take, every little attempt you take to try and be a play-hard, a smartass, or just an overdoer We play as one of three healers each time, but not the typical kind of "healers" we usually think of: holy, pristine, clean and full of mercy. Nope, we're flawed, tired, dirty, scared... One wants to cheat death, another wants to find the culprit of his father's death after being pointed as blasphemous heathen. The third came out of the mud, like a wicked creature out of the steppe. Pathologic is raw, is difficult, obnoxious at times, but unforgettable. Everything you do carries this lingering density that makes you feel like you're going through a fever dream rather than a videogame. 10/10

Dec. 2025

Pathologic is one of the most fascinating and maddening games I’ve ever played. It’s an incredible piece of storytelling buried under layers of rough, outdated, and downright hostile design choices. Somehow it inspires both absolute frustration and an undeniable urge to keep going just to see what happens next. For atmosphere and narrative alone, it’s almost unmatched. The town feels oppressive and alive in its own strange way, the plague ridden districts are genuinely unsettling, and even with the ancient engine the game manages to create a mood that sticks with you long after you stop playing. Pathologic feels like a fever dream, and honestly, that’s the best description of its world and tone. The writing and characters are where the game truly shines. Every conversation feels heavy with meaning, and there’s a constant sense of mystery that makes you want to dig deeper. But the farther you go, the more you realize the game demands patience, stubbornness, and a tolerance for pain. Just like it's sequel Pathologic isn’t really meant to be “fun,” and after playing it, and if you ever play it you will know exactly what I mean. The gameplay, unfortunately, fights you every step of the way. The mechanics feel deliberately archaic. Movement is slow, the absence of a sprint button makes the simplest errands drag on forever, and the reliance on constant travel turns the map into a chore. Combat feels sloppy and unreliable, with animations that come out unevenly and a complete lack of weapon switching. Survival systems pile on the pressure hunger climbs fast, resources are scarce, and the plague behaves like a cruel force of nature that hits you without warning. Unfortunetly its even worse than its sequel in that the game borders on unfair, and frustrating. The structure doesn’t help either. The game leans heavily on repetitive errands, and even when the story is gripping, being sent across town again and again slowly makes everything start to feel exhausting. Starting as the Haruspex might seem interesting, but it skips the tutorial and throws you straight into the deep end without explanation. The game never bothers to warn you, and plenty of people only learn that after suffering through it. Pathologic feels like a masterpiece and a mess at the same time. It’s brilliant, atmospheric, and completely uncompromising. But it’s also grueling, confusing, and often outright hostile toward the player. Whether it’s worth enduring depends entirely on your patience and how much you value atmosphere over mechanics. It’s one of the greatest stories in gaming but I can see why most opt to just watch a playthrough and experience it from a safe distance. Can't wait for Pathologic 3.

Feb. 2025

This game has done irreparable damage to my psyche, I can't, in good conscious, recommend it to anyone. Luckily for me, this game has also completely destroyed my moral compass, everyone should go play this game right now.

Jan. 2025

great game if youre autistic or possess any sort of unusual malady

Similar games

View all

Fuck You Witch Your best friend has confessed her love for you... but the problems don't stop there. You've started to hallucinate. All this interferes with sleeping and eating, and in general disrupts your ideal lifestyle. Yell obscenities at the witch, immerse yourself in the atmosphere of the Qazaq steppes

Similarity 72%

Price 9.75€

Rating 8.6

Release 29 Mar 2024

View

SOMA From the creators of Amnesia: The Dark Descent comes SOMA, a sci-fi horror game set below the waves of the Atlantic ocean. Struggle to survive a hostile world that will make you question your very existence.

Similarity 69%

Price -45% 16.14€

Rating 9.4

Release 21 Sep 2015

View

Pathologic 3 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.

Similarity 68%

Price -81% 6.80€

Rating 7.9

Release 09 Jan 2026

View

Layers of Fear (2016) Layers of Fear is a first-person psychedelic horror game with a heavy focus on story and exploration. Players take control of a painter whose sole purpose is to finish his Magnum Opus. The player must navigate a constantly changing Victorian-era mansion and ghastly visions of the painter’s psyche.

Similarity 67%

Price -86% 2.96€

Rating 8.7

Release 15 Feb 2016

View

Layers of Fear All stories must come to an end, even twisted and eerie ones. The canvas. The stage. The novel. This narrative-focused psychological horror experience is ready for its final brushstrokes, its curtain call, its final chapter. Are you ready to return and face your fears one last time?

Similarity 66%

Price -97% 0.94€

Rating 7.7

Release 15 Jun 2023

View

DISTRAINT 2 You are Price, a man who sold his humanity to get a partnership from a leading company: McDade, Bruton & Moore. DISTRAINT 2 follows on from the events of the first game. It's a sinister tale about restoring hope and finding your purpose.

Similarity 66%

Price -93% 0.62€

Rating 9.2

Release 13 Nov 2018

View

Bloodwash A serial killer is terrorizing the city, and Sara's deadbeat boyfriend hasn't done the laundry. Can Sara survive a late-night trip to the laundromat, or will the Womb Ripper perform an early delivery?

Similarity 66%

Price 6.59€

Rating 8.7

Release 16 Sep 2021

View

Layers of Fear 2 (2019) Layers of Fear 2 is a first-person psychological horror game with an emphasis on exploration and story. Players control a Hollywood actor who heeds the call of an enigmatic director to take on the lead role in a film shot aboard an ocean liner. Beware, for all may not truly be what it seems.

Similarity 65%

Price 16.79€

Rating 7.0

Release 28 May 2019

View

Dead Take Find your missing friend. Uncover the secrets within. Brave a luxurious and haunting mansion in Dead Take, a first-person psychological horror crafted by Surgent Studios.

Similarity 65%

Price 13.99€

Rating 8.3

Release 31 Jul 2025

View

Mouthwashing The five crew members of the Tulpar are stranded in the empty reaches of space, shrouded in perpetual sunset. God is not watching.

Similarity 65%

Price -75% 3.24€

Rating 9.4

Release 26 Sep 2024

View

Tiny Bunny Tiny Bunny is a non-linear horror visual novel. Those, who have heard the voice of the forest, are beyond help.

Similarity 64%

Price 10.79€

Rating 9.4

Release 05 Dec 2025

View

MADiSON MADiSON is a first person psychological horror game that delivers an immersive and terrifying experience. With the help of an instant camera, connect the human world with the beyond, take pictures and develop them by yourself. Solve puzzles, explore your surroundings and most importantly, survive.

Similarity 64%

Price 34.99€

Rating 8.4

Release 07 Jul 2022

View

Discover more games like Pathologic Classic HD

Frequently Asked Questions

Pathologic Classic HD is currently priced at 12.99€ on Steam.

Pathologic Classic HD is currently not on sale. You can purchase it for 12.99€ on Steam.

Pathologic Classic HD received 3,565 positive votes out of a total of 4,064 achieving a rating of 8.46.

😎

Pathologic Classic HD was developed by Ice-Pick Lodge and General Arcade and published by Good Shepherd Entertainment.

Pathologic Classic HD is playable and fully supported on Windows.

Pathologic Classic HD is not playable on MacOS.

Pathologic Classic HD is not playable on Linux.

Pathologic Classic HD is a single-player game.

Pathologic Classic HD does not currently offer any DLC.

Pathologic Classic HD does not support mods via Steam Workshop.

Pathologic Classic HD does not support Steam Remote Play.

Pathologic Classic HD 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 Classic HD.

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	23 January 2026 23:13
SteamSpy data	27 January 2026 13:06
Steam price	28 January 2026 20:47
Steam reviews	28 January 2026 01:47

If you'd like to dive deeper into the details about Pathologic Classic HD, 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 Classic HD
SteamCharts - Analysis of Pathologic Classic HD concurrent players on Steam
ProtonDB - Crowdsourced reports on Linux and Steam Deck Pathologic Classic HD compatibility