10 Games like Pathologic 3 on Xbox 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 10 that fit the “Xbox” category. FIVE NIGHTS AT FREDDY'S: HELP WANTED, 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

The best games like Pathologic 3 on Xbox

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.

#1FIVE 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

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

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

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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

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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

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Steam GOG Epic

#6Dying Light: The Beast

iRank84

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

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

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Steam GOG Epic

#8The InvincibleClosest on world

iRank83

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

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Steam GOG Epic

#9Jurassic Park: The Game

iRank55

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

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Steam

#10Minecraft: Story Mode

iRank73