Pathologic 3

26 Dark games like Pathologic 3 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 26 that fit the “Dark” category. FIVE NIGHTS AT FREDDY'S: HELP WANTED, Stranded Deep 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 “Dark” category, the closest game to Pathologic 3 is FIVE NIGHTS AT FREDDY'S: HELP WANTED — scoring 75/100 on our similarity scale. Stranded Deep and Don't Starve Together follow close behind.

#1FIVE NIGHTS AT FREDDY'S: HELP WANTED75 #2Stranded Deep69 #3Don't Starve Together65 #4Silent Hill 264 #5The Invincible64

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The best dark games like Pathologic 3

26 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.

#1FIVE NIGHTS AT FREDDY'S: HELP WANTEDClosest overall match

75

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

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

#2Stranded Deep

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

#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

#4Silent Hill 2Closest on progression

64

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

Where it drifts furthest from Pathologic 3: visuals.

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

Genre100Game mode100Tone100Setting100Progression100Visuals0

#5The 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

#6Silent 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

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

#8Alone 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

#10Parasite 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

#11Jurassic 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

#12Minecraft: 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

#13Parasite Eve

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

#14Slender: 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

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

Complete list of dark games like Pathologic 3

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.

Dying Light: The Beast

Dying Light: The Beast

Survival · RPG

Fatal Frame II: Crimson Butterfly

Fatal Frame II: Crimson Butterfly

Survival · Adventure

Fatal Frame

Fatal Frame

Survival · Adventure

Silent Hill 4: The Room

Silent Hill 4: The Room

Survival · Adventure

Eternal Darkness: Sanity's Requiem

Eternal Darkness: Sanity's Requiem

Survival · Puzzle

Silent Hill: Origins

Silent Hill: Origins

Survival · Puzzle

Silent Hill: Shattered Memories

Silent Hill: Shattered Memories

Survival · Adventure

Haunting Ground

Haunting Ground

Survival · Adventure

Silent Hill: Downpour

Silent Hill: Downpour

Survival · Adventure

Rule of Rose

Rule of Rose

Survival · Puzzle

Animal Company

Animal Company

Survival · Adventure

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