5 RPG games like Pathologic 3 that you should try

Games like Pathologic 3 · Find similar →

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 5 that fit the “RPG” category. Russian Fishing 4, FIVE NIGHTS AT FREDDY'S: HELP WANTED and Parasite Eve top the list, ranked by affinity and similarity score to Pathologic 3.

iRank80/ 100

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GenreSurvivalSubgenreCo-op PvE Survival

The best rPG games like Pathologic 3

5 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

iRank48

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

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Steam

#2FIVE NIGHTS AT FREDDY'S: HELP WANTEDClosest overall match

iRank71

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

Five Nights at Freddy’s: Help Wanted is a collection of classic and original mini-games set in the Five Nights universe. Survive terrifying encounters with your favorite killer animatronics in a collection of new and classic FIVE NIGHTS AT FREDDY’S™ experiences. “Where fantasy and fun come to life!

Genre100Game mode100Tone100Setting100Visuals100