10 Simulation 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.

Filter by:Simulation×← Back to home

We filtered the 42 games similar to Pathologic 3 down to the 10 that fit the “Simulation” category. Russian Fishing 4, Stranded Deep and The Long Dark top the list, ranked by affinity and similarity score to Pathologic 3.

iRank80/ 100

Did you find what you were looking for?

GenreSurvivalSubgenreCo-op PvE Survival

The best simulation games like Pathologic 3

10 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

Details →

Steam

#2Stranded DeepClosest overall match

iRank71

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

Details →

Steam Epic Xbox

#3The Long DarkClosest on game mode

iRank82

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

Details →

Steam GOG Epic

#4Don't Starve Together

iRank85

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

Details →

Steam

#5Deliver Us the MoonClosest on progression

iRank82

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

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

Details →

Steam GOG Epic

#7Raft

iRank85

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

GenreSurvivalSubgenreCo-op PvE Survival

SoloNarrativeOpen WorldExplorationCasual

Steam👍 81%· 491

Year 2015Dev Sean DavyPlaytime ~4hOn PC

✓ Fits the PvE survival games cluster, with survival mechanics, deep simulation and strong narrative focus

≠ Its own twist: roguelike runs, vibe casual and cozy, relaxing feel, while skipping adventure storytelling

Warning: Content Below may not be suitable for Cats, any similarities to real dogs is purely coincidental. In Domestic Dog, you take control of a randomized dog in a randomized house and survive the harsh domestic life! Explore the city and interact with the world for discover items and secrets.

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

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

Genre100Game mode100Progression100World63Tone26Visuals0

GenreSurvivalSubgenreCo-op PvE Survival

SoloSci-FiIsometric

Steam👍 51%· 215

Year 2016Dev Refactored Games OÜPlaytime ~3hOn PC

✓ Both are PvE survival games — sharing survival mechanics, deep simulation and single-player focus

≠ Its own twist: setting scifi and visual isometric, while skipping adventure storytelling

Manage interstellar pioneers and their descendants in this detailed sci-fi colony sim. Centuries after planetfall, colonists are still struggling to gain foothold on their lush and alien planet. You settle on the frontier by carefully managing resources, production and different personalities.

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

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

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

Genre100Game mode100Setting0Visuals0

Details →

Steam

#10flOw

iRank75