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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GenreSurvivalSubgenreCo-op PvE Survival

Tags

NarrativeDarkSolo

Year 2026Dev Ice-Pick Lodge

Stores

Steam ↗GOG ↗Xbox ↗PS ↗

Quick answer

The closest game to Pathologic 3 is Silent Hill 2 — scoring 96/100 on our similarity scale. Silent Hill and Silent Hill 3 follow close behind.

#1Silent Hill 296 #2Silent Hill96 #3Silent Hill 395 #4Eternal Darkness: Sanity's Requiem94 #5Alone in the Dark: The New Nightmare96

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Games like Pathologic 3

42 similar games found

#1Silent Hill 2

96

iRank89

Silent Hill 2

GenreSurvivalSubgenreCo-op PvE Survival

SoloNarrativeDarkHorrorExploration

IGDB90· 1OC87· 160

Year 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

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkNarrativeHorrorRanged

IGDB82· 1

Year 1999Dev Team Silent · KonamiOn 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

#3Silent Hill 3

95

iRank88

Silent Hill 3

GenreSurvivalSubgenreCo-op PvE Survival

SoloNarrativeDarkHorrorExploration

IGDB88· 3

Year 2003Dev Team Silent · KonamiOn 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

#4Eternal Darkness: Sanity's Requiem

94

iRank90

Eternal Darkness: Sanity's Requiem

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkHorrorThird Person

IGDB90· 1

Year 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

#5Alone in the Dark: The New Nightmare

96

iRank80

Alone in the Dark: The New Nightmare

GenreSurvivalSubgenreCo-op PvE Survival

SoloNarrativeDarkHorrorThird Person

IGDB80· 1

Year 2001Dev Darkworks · InfogramesOn 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

#6Fatal Frame II: Crimson Butterfly

95

iRank87

Fatal Frame II: Crimson Butterfly

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkHorrorFirst PersonThird Person

IGDB87· 2

Year 2003Dev TecmoOn 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

#7FIVE NIGHTS AT FREDDY'S: HELP WANTED

97

iRank71

FIVE NIGHTS AT FREDDY'S: HELP WANTED

GenreSurvivalSubgenreCo-op PvE Survival

SoloNarrativeDarkHorrorFirst Person

IGDB90· 1OC52· 10

Year 2020Dev Steel Wool Studios · Steel Wool GamesPlaytime ~2hOn 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

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkHorrorFirst PersonThird Person

IGDB81· 1

Year 2001Dev Tecmo · Wanadoo EditionOn 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

#9Silent Hill: Origins

94

iRank80

Silent Hill: Origins

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkHorrorThird Person

IGDB80· 4

Year 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

#10Silent Hill 4: The Room

95

iRank72

Silent Hill 4: The Room

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkHorrorFirst PersonThird Person

IGDB72· 2

Year 2004Dev Team Silent · KonamiOn 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

#11Silent Hill: Shattered Memories

94

iRank75

Silent Hill: Shattered Memories

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkHorrorThird Person

IGDB75· 6

Year 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

#12The Invincible

92

iRank83

The Invincible

GenreSurvivalSubgenreCo-op PvE Survival

SoloNarrativeDarkOpen WorldExplorationFirst Person

Steam👍 89%· 9.4KIGDB79· 5OC73· 85

Year 2023Dev Starward Industries · 11 bit studiosOn 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

#13Haunting Ground

94

iRank70

Haunting Ground

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkHorrorThird Person

IGDB70· 2

Year 2005Dev Capcom Production Studio 1 · CapcomOn 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

#14Silent Hill: Downpour

94

iRank70

Silent Hill: Downpour

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkHorrorThird Person

IGDB70· 8

Year 2012Dev Vatra Games · KonamiOn 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

#15ARMORED HEAD

87

iRank98

ARMORED HEAD

GenreSurvivalSubgenreCo-op PvE Survival

SoloNarrativeExplorationFirst PersonRanged

Steam👍 98%· 1.3K

Year 2020Dev Egor RezenovPlaytime ~2hOn 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

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The Alters

Survival · Adventure

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Deliver Us the Moon

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Rule of Rose

Rule of Rose

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Domestic Dog

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Jurassic Park: The Game

Jurassic Park: The Game

Survival · Adventure

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Frequently asked questions

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.