Pathologic 3

21 Games like Pathologic 3 on PC that you should try

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Ranking compiled by Lluis Enric Mayans, Founder & Head of ContentUpdated May 19, 2026How this is calculatedOrdered by an attribute-similarity model, not editorial opinion.

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We filtered the 42 games similar to Pathologic 3 down to the 21 that fit the “PC” category. Russian Fishing 4, Stranded Deep and The Long Dark top the list, ranked by affinity and similarity score to Pathologic 3.

iRank80/ 100

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GenreSurvivalSubgenreCo-op PvE Survival

Tags

NarrativeDarkSolo

Year 2026Dev Ice-Pick Lodge

Stores

Steam ↗GOG ↗Xbox ↗PS ↗

Quick answer

Within the “PC” category, the closest game to Pathologic 3 is Russian Fishing 4 — scoring 68/100 on our similarity scale. Stranded Deep and The Long Dark follow close behind.

#1Russian Fishing 468 #2Stranded Deep69 #3The Long Dark66 #4Don't Starve Together65 #5Deliver Us the Moon65

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The best games like Pathologic 3 on PC

21 similar games foundUpdated May 2026

Handpicked by our similarity algorithm, these are the titles with the highest gameplay match to Pathologic 3. Each one has been evaluated across 11 real attributes — from combat style and progression mechanics to world structure and visual perspective — so every recommendation is based on how the game actually plays, not just its genre label.

#1Russian Fishing 4Closest on genre

68

Russian Fishing 4

GenreSurvivalSubgenreCo-op PvE Survival

SoloNarrativeOpen WorldExplorationFirst Person

Steam👍 59%· 86KRAWG👍 31%· 73

Year 2018Dev Russian FishingPlaytime ~1hOn PC

✓ Same family of PvE survival games: survival mechanics, adventure storytelling and deep simulation

≠ Where it differs: brings sports simulation, vibe casual and vibe relaxing, while skipping dark, oppressive atmosphere

Russian Fishing 4 dynamic and engaging fishing simulator that features unique natural physics, conditions and fish behavior. 50+ Fish species. 8 Lakes and rivers. Spinning, Bait casting, Feeder and Float fishing. Players ratings, achievements and statistics. Dozens of fishing techniques.

Where it drifts furthest from Pathologic 3: game mode and tone.

On reception: its Steam reviews are mixed, against very positive for Pathologic 3.

It predates Pathologic 3 by 8 years, with what that implies technically.

Genre100World100Visuals100Progression53Tone26Game mode22

#2Stranded DeepClosest overall match

69

Stranded Deep

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkNarrativeOpen WorldHorrorExplorationFirst Person

Steam👍 74%· 47KOC64· 14

Year 2015Dev Beam Team GamesOn PS4 · Linux · PC

✓ Both are PvE survival games — sharing survival mechanics, adventure storytelling and deep simulation

≠ Stands apart with sandbox freedom, sandbox world and melee combat, while skipping deep RPG systems

Where it drifts furthest from Pathologic 3: game mode and progression.

On reception: its Steam reviews are mostly positive, against very positive for Pathologic 3.

It predates Pathologic 3 by 11 years, with what that implies technically.

Genre100Tone100Setting100Visuals100World60Progression41

Steam Epic Xbox

#3The Long DarkClosest on game mode

66

The Long Dark

GenreSurvivalSubgenreCo-op PvE Survival

SoloNarrativeOpen WorldExplorationFirst Person

Steam👍 89%· 122KRAWG👍 78%· 881MC76IGDB82· 5OC77· 53

Year 2014Dev Hinterland StudioPlaytime ~5hOn PC · PS · Xbox

✓ Same family of PvE survival games: survival mechanics, adventure storytelling and deep simulation

≠ Stands apart with shooter, first-person shooting and sandbox freedom, while skipping deep RPG systems

The Long Dark is a game about surviving in the unforgiving conditions of frozen North Canadian taiga. The Arctic wilderness may be breathtakingly beautiful, thanks to the game’s artful visual style, but it is also deadly.

Where it drifts furthest from Pathologic 3: setting.

It predates Pathologic 3 by 12 years, with what that implies technically.

Genre100Game mode100Visuals100Progression62World61Tone60

#4Don't Starve Together

65

Don't Starve Together

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkNarrativeOpen WorldHorrorExploration

Steam👍 95%· 531KRAWG👍 72%· 1.4KMC83

Year 2016Dev Klei EntertainmentPlaytime ~7hOn PC · PS · Xbox

✓ Same family of PvE survival games: survival mechanics, deep simulation and adventure storytelling

≠ Where it differs: brings sandbox freedom, punishing difficulty and sandbox world, while skipping deep RPG systems

Don't Starve Together is surrealistic and grim survival game made up for six people simultaneously. Initially, Don't Starve is a single-player game with a core mechanic of going through various problems of your character. You have to sleep and eat well.

Where it drifts furthest from Pathologic 3: visuals and game mode.

It predates Pathologic 3 by 10 years, with what that implies technically.

Genre100Setting100Tone79Progression64World62Game mode26

#5Deliver Us the MoonClosest on progression

65

Deliver Us the Moon

GenreSurvivalSubgenreCo-op PvE Survival

SoloNarrativeExplorationFirst PersonMelee

Steam👍 88%· 9.2KIGDB78· 5OC74· 67

Year 2019Dev KeokeN Interactive · Wired ProductionsOn Xbox · PS4 · PC

✓ Same family of PvE survival games: survival mechanics, adventure storytelling and deep simulation

≠ Stands apart with puzzle design, melee combat and setting scifi, while skipping deep RPG systems

Where it drifts furthest from Pathologic 3: setting.

Genre100Game mode100Progression100Visuals71Tone64Setting0

#6Dying Light: The Beast

60

Dying Light: The Beast

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkHorrorFirst PersonMultiplayer

Steam👍 87%· 68KIGDB82· 7OC81· 126

Year 2025Dev TechlandOn Xbox · PS4 · PC

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

≠ Where it differs: brings post-apocalyptic world, multiplayer gameplay and co op, while skipping deep simulation

Where it drifts furthest from Pathologic 3: game mode.

Genre100Visuals100Tone71Setting68Game mode34

Steam Epic Xbox

58

The Alters

GenreSurvivalSubgenreCo-op PvE Survival

SoloNarrativeSci-FiIsometricThird Person

Steam👍 90%· 17KIGDB87· 5OC86· 115

Year 2025Dev 11 bit studiosOn Xbox · PC · PS5

✓ Same family of PvE survival games: survival mechanics, adventure storytelling and deep simulation

≠ Where it differs: brings setting scifi, visual isometric and visual third person, while skipping deep RPG systems

Where it drifts furthest from Pathologic 3: setting and visuals.

Genre100Game mode100Tone57Setting0Visuals0

58

Raft

GenreSurvivalSubgenreCo-op PvE Survival

SoloOpen WorldExplorationFirst PersonMultiplayer

Steam👍 93%· 372KRAWG👍 77%· 448IGDB80· 1

Year 2022Dev Redbeet Interactive · Axolot GamesPlaytime ~8hOn PC

✓ Both are PvE survival games — sharing survival mechanics, adventure storytelling and deep simulation

≠ Where it differs: brings sandbox freedom, sandbox world and multiplayer gameplay, while skipping deep RPG systems

By yourself or with friends, your mission is to survive an epic oceanic adventure across a perilous sea! Gather debris to survive, expand your raft and be wary of the dangers of the ocean!

Where it drifts furthest from Pathologic 3: game mode and progression.

Genre100World74Visuals72Progression36Game mode26

#9The Invincible

64

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

Where it drifts furthest from Pathologic 3: setting.

Genre100Game mode100Tone100World100Progression100Visuals100

#10Silent Hill 3

63

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

Where it drifts furthest from Pathologic 3: visuals.

It predates Pathologic 3 by 23 years, with what that implies technically.

Genre100Game mode100Tone100Progression100Setting69Visuals0

#11Slender: The Eight Pages

62

Slender: The Eight Pages

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkHorrorExplorationFirst Person

Year 2012Dev Parsec ProductionsOn PC · Mac

✓ Nearly identical: survival mechanics, adventure storytelling and dark, oppressive atmosphere.

≠ Missing: deep simulation.

It predates Pathologic 3 by 14 years, with what that implies technically.

Genre100Game mode100Setting100Progression100Visuals100Tone71

60

Dino Crisis

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkNarrativeHorrorSci-Fi

IGDB60· 1

Year 1999Dev Capcom Planning Room 2 · CapcomOn PlayStation 3 · PC

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

≠ Where it differs: brings puzzle design, shooter and setting scifi, while skipping deep simulation

Where it drifts furthest from Pathologic 3: visuals.

It predates Pathologic 3 by 27 years, with what that implies technically.

Genre100Game mode100Tone100Setting69Visuals0

#13Jurassic Park: The Game

60

Jurassic Park: The Game

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkNarrativeHorrorMelee

Steam👍 69%· 2.1KRAWG👍 31%· 96MC54IGDB61· 4

Year 2011Dev Telltale GamesPlaytime ~3hOn PC · Xbox · iOS

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

≠ Stands apart with puzzle design, melee combat and setting scifi, while skipping deep simulation

Security systems have failed and the creatures of the park roam free. Now, a rogue corporation will stop at nothing to acquire the dinosaur embryos stolen and lost by Dennis Nedry.

Where it drifts furthest from Pathologic 3: visuals.

On reception: its Steam reviews are mixed, against very positive for Pathologic 3.

It predates Pathologic 3 by 15 years, with what that implies technically.

Genre100Game mode100Tone100Setting66Visuals0

#14Silent Hill 4: The Room

60

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

It predates Pathologic 3 by 22 years, with what that implies technically.

Genre100Game mode100Setting100Tone71Visuals71

#15Minecraft: Story Mode

58

Minecraft: Story Mode

GenreSurvivalSubgenreCo-op PvE Survival

SoloNarrativeDarkHorrorCasual

Steam👍 77%· 8.3KIGDB66· 7

Year 2015Dev Mojang StudiosOn PlayStation 3 · PS4 · Android

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

≠ Where it differs: brings puzzle design, vibe casual and fantasy world, while skipping deep simulation

Where it drifts furthest from Pathologic 3: progression and visuals.

On reception: its Steam reviews are mostly positive, against very positive for Pathologic 3.

It predates Pathologic 3 by 11 years, with what that implies technically.

Genre100Game mode100Tone87Setting61Progression0Visuals0

Steam GOG Nintendo

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