Pathologic 3

20 Games like Pathologic 3 on PlayStation 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 20 that fit the “PlayStation” category. Stranded Deep, The Long Dark and Don't Starve Together 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 “PlayStation” category, the closest game to Pathologic 3 is Stranded Deep — scoring 69/100 on our similarity scale. The Long Dark and Don't Starve Together follow close behind.

#1Stranded Deep69 #2The Long Dark66 #3Don't Starve Together65 #4Deliver Us the Moon65 #5Parasite Eve64

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The best games like Pathologic 3 on PlayStation

20 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.

#1Stranded 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

#2The 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

#3Don'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

#4Deliver 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

64

Parasite Eve

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkHorrorStealthFantasy

IGDB60· 1

Year 1998Dev Squaresoft · Square Electronic ArtsOn PlayStation 3

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

≠ Its own twist: stealth mechanics, fantasy world and historical setting, while skipping deep simulation

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

It predates Pathologic 3 by 28 years, with what that implies technically.

Genre100Game mode100Tone71Setting41Visuals0

#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

#8The InvincibleClosest on world

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

61

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

Where it drifts furthest from Pathologic 3: visuals.

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

Genre100Game mode100Tone100Setting100Visuals0

#10Alone in the Dark: The New Nightmare

61

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

Where it drifts furthest from Pathologic 3: visuals.

It predates Pathologic 3 by 25 years, with what that implies technically.

Genre100Game mode100Tone100Setting100Visuals0

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

#12Parasite Eve II

60

Parasite Eve II

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkNarrativeHorrorSci-Fi

Year 1999Dev Square Product Development Division 5 · SquareOn PlayStation 3

✓ Same family of PvE survival games: survival mechanics, deep RPG systems and dark, oppressive atmosphere

≠ Stands apart with setting scifi and visual third person, while skipping adventure storytelling

Where it drifts furthest from Pathologic 3: visuals.

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

Genre100Game mode100Tone100Setting69Visuals0

60

P.T.

GenreSurvivalSubgenreCo-op PvE Survival

SoloDarkHorrorFirst PersonStealth

Year 2014Dev Kojima Productions · KonamiOn PS4

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

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

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

Genre100Game mode100Setting100Visuals100Tone71

#14Fatal Frame II: Crimson Butterfly

60

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

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

Genre100Game mode100Setting100Tone71Visuals71

60

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

It predates Pathologic 3 by 25 years, with what that implies technically.

Genre100Game mode100Setting100Tone71Visuals71

Complete list of games like Pathologic 3 on PlayStation

The full catalog of games sharing gameplay DNA with Pathologic 3, ordered from highest to lowest similarity score. Use the filters above to narrow down by genre, setting or game mode and find the alternative that best fits your playstyle.

Silent Hill 4: The Room

Silent Hill 4: The Room

Survival · Adventure

Minecraft: Story Mode

Minecraft: Story Mode

Survival · Adventure

Haunting Ground

Haunting Ground

Survival · Adventure

Silent Hill: Downpour

Silent Hill: Downpour

Survival · Adventure

flOw

flOw

Survival · Puzzle

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