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Pathologic 3

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Pathologic 3 is hard to replace: few games combine survival mechanics, strong narrative focus and open world exploration in quite the same way. We analyzed over 2,000 titles across 11 gameplay attributes and found 42 genuine alternatives — not generic genre suggestions. Silent Hill 2, Silent Hill and Silent Hill 3 lead the list, with Silent Hill 2 reaching a 96/100 similarity score. Every game here is ranked by how closely it replicates what makes Pathologic 3 special.

iRank80/ 100

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GenreÜberlebenSubgenreKoop-PvE-Überleben
Tags
NarrativDüsterEinzelspieler
Jahr 2026Dev Ice-Pick Lodge

Schnelle Antwort

Das ähnlichste Spiel zu Pathologic 3 ist Silent Hill 2 — mit einem Ähnlichkeitswert von 96/100. Silent Hill und Silent Hill 3 folgen dicht dahinter.

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Spiele wie Pathologic 3

42 ähnliche Spiele gefunden
96
iRank89
Silent Hill 2
ÜberlebenKoop-PvE-Überleben
EinzelspielerNarrativDüsterHorrorErkundung
IGDB90· 1OC87· 160
Jahr 2001Dev Team Silent · Konami

✓ Both are PvE survival games — sharing survival mechanics, adventure storytelling and strong narrative focus

≠ Where it differs: brings puzzle design, melee combat and visual third person, while skipping deep simulation

96
iRank82
Silent Hill
ÜberlebenKoop-PvE-Überleben
EinzelspielerDüsterNarrativHorrorFernkampf
IGDB82· 1
Jahr 1999Dev Team Silent · KonamiAuf PlayStation 3

✓ Fits the PvE survival games cluster, with survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Its own twist: puzzle design, ranged combat and visual third person, while skipping deep simulation

95
iRank88
Silent Hill 3
ÜberlebenKoop-PvE-Überleben
EinzelspielerNarrativDüsterHorrorErkundung
IGDB88· 3
Jahr 2003Dev Team Silent · KonamiAuf PC

✓ Same family of PvE survival games: survival mechanics, adventure storytelling and strong narrative focus

≠ Stands apart with puzzle design, stealth mechanics and melee combat, while skipping deep simulation

Eternal Darkness: Sanity's Requiem
ÜberlebenKoop-PvE-Überleben
EinzelspielerDüsterHorrorDritte Person
IGDB90· 1
Jahr 2002Dev Silicon Knights · Nintendo

✓ Fits the PvE survival games cluster, with survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings puzzle design and visual third person, while skipping deep simulation

Alone in the Dark: The New Nightmare
ÜberlebenKoop-PvE-Überleben
EinzelspielerNarrativDüsterHorrorDritte Person
IGDB80· 1
Jahr 2001Dev Darkworks · InfogramesAuf PlayStation 3

✓ Fits the PvE survival games cluster, with survival mechanics, adventure storytelling and strong narrative focus

≠ Stands apart with puzzle design and visual third person, while skipping deep simulation

Fatal Frame II: Crimson Butterfly
ÜberlebenKoop-PvE-Überleben
EinzelspielerDüsterHorrorEgo-PerspektiveDritte Person
IGDB87· 2
Jahr 2003Dev TecmoAuf PlayStation 3

✓ Fits the PvE survival games cluster, with survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Its own twist: visual third person, while skipping deep simulation

FIVE NIGHTS AT FREDDY'S: HELP WANTED
ÜberlebenKoop-PvE-Überleben
EinzelspielerNarrativDüsterHorrorEgo-Perspektive
IGDB90· 1OC52· 10
Jahr 2020Dev Steel Wool Studios · Steel Wool GamesSpielzeit ~2hAuf Xbox · Nintendo

✓ Fits the PvE survival games cluster, with survival mechanics, adventure storytelling and deep RPG systems

≠ Where it differs: brings puzzle design, while skipping deep simulation

95
iRank81
Fatal Frame
ÜberlebenKoop-PvE-Überleben
EinzelspielerDüsterHorrorEgo-PerspektiveDritte Person
IGDB81· 1
Jahr 2001Dev Tecmo · Wanadoo EditionAuf PlayStation 3

✓ Same family of PvE survival games: survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Stands apart with visual third person, while skipping deep simulation

Silent Hill: Origins
ÜberlebenKoop-PvE-Überleben
EinzelspielerDüsterHorrorDritte Person
IGDB80· 4
Jahr 2007Dev Climax LA · Konami Digital Entertainment

✓ Both are PvE survival games — sharing survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings puzzle design and visual third person, while skipping deep simulation

Silent Hill 4: The Room
ÜberlebenKoop-PvE-Überleben
EinzelspielerDüsterHorrorEgo-PerspektiveDritte Person
IGDB72· 2
Jahr 2004Dev Team Silent · KonamiAuf PlayStation 3 · PC

✓ Same family of PvE survival games: survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings visual third person, while skipping deep simulation

Silent Hill: Shattered Memories
ÜberlebenKoop-PvE-Überleben
EinzelspielerDüsterHorrorDritte Person
IGDB75· 6
Jahr 2009Dev Climax Studios · Konami

✓ Same family of PvE survival games: survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Stands apart with visual third person, while skipping deep simulation

92
iRank83
The Invincible
ÜberlebenKoop-PvE-Überleben
EinzelspielerNarrativDüsterOffene WeltErkundungEgo-Perspektive
Steam👍 89%· 9.4KIGDB79· 5OC73· 85
Jahr 2023Dev Starward Industries · 11 bit studiosAuf Xbox · PC · PS5

✓ Both are PvE survival games — sharing survival mechanics, adventure storytelling and strong narrative focus

≠ Its own twist: setting scifi and setting space, while skipping deep simulation

94
iRank70
Haunting Ground
ÜberlebenKoop-PvE-Überleben
EinzelspielerDüsterHorrorDritte Person
IGDB70· 2
Jahr 2005Dev Capcom Production Studio 1 · CapcomAuf PlayStation 3

✓ Same family of PvE survival games: survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings visual third person, while skipping deep simulation

Silent Hill: Downpour
ÜberlebenKoop-PvE-Überleben
EinzelspielerDüsterHorrorDritte Person
IGDB70· 8
Jahr 2012Dev Vatra Games · KonamiAuf PlayStation 3

✓ Fits the PvE survival games cluster, with survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings visual third person, while skipping deep simulation

87
iRank98
ARMORED HEAD
ÜberlebenKoop-PvE-Überleben
EinzelspielerNarrativErkundungEgo-PerspektiveFernkampf
Steam👍 98%· 1.3K
Jahr 2020Dev Egor RezenovSpielzeit ~2hAuf PC

✓ Both are PvE survival games — sharing survival mechanics, adventure storytelling and strong narrative focus

≠ Stands apart with punishing difficulty, ranged combat and melee combat, while skipping deep simulation

Spiele wie Pathologic 3

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Häufige Fragen

What is the best game similar to Pathologic 3?
The closest game to Pathologic 3 is Silent Hill 2, scoring 96/100 on our similarity scale. They share 7 gameplay attributes, including survival mechanics, adventure storytelling and single-player focus. It's the most faithful alternative currently available.
What are the top games like Pathologic 3?
The three closest games to Pathologic 3 are: 1. Silent Hill 2 (96/100, 7 shared attributes) 2. Silent Hill (96/100, 6 shared attributes) 3. Silent Hill 3 (95/100, 7 shared attributes). All share Pathologic 3's most important gameplay attributes, ranked out of 42 candidates across 11 dimensions.
Is Silent Hill similar to Pathologic 3?
Yes, very much so — Silent Hill scores 96/100 similarity to Pathologic 3. They share 6 attributes, including survival mechanics and adventure storytelling. It's one of the most direct alternatives available.
What Survival games are similar to Pathologic 3?
The best Survival games similar to Pathologic 3 are Silent Hill 2, Silent Hill, Silent Hill 3 and Eternal Darkness: Sanity's Requiem. All share the Survival genre alongside other key Pathologic 3 attributes like survival mechanics, adventure storytelling and single-player focus.
How is similarity to Pathologic 3 calculated?
We compare Pathologic 3 against every game in our catalog using 11 gameplay attributes: genre, atmosphere, world structure, play modes, combat style, and more. Each category is weighted differently — genre matters more than visual style, for instance. The result is a 0-100 score reflecting how closely a game replicates the Pathologic 3 experience, not just whether it shares the same genre label.
Are there free games similar to Pathologic 3?
Yes — Russian Fishing 4 is free and scores well on similarity to Pathologic 3. It's a great way to test whether the play style clicks before investing in other paid titles.