What is the best game similar to Pathologic?

The closest game to Pathologic is Atomic Heart, scoring 89/100 on our similarity scale. They share 13 gameplay attributes, including deep RPG systems, shooter and first-person shooting. It's the most faithful alternative currently available.

What are the top games like Pathologic?

The three closest games to Pathologic are: 1. Atomic Heart (89/100, 13 shared attributes) 2. Dead Island 2 (84/100, 14 shared attributes) 3. Warhammer: End Times - Vermintide (82/100, 13 shared attributes). All share Pathologic's most important gameplay attributes, ranked out of 50 candidates across 16 dimensions.

Is Dead Island 2 similar to Pathologic?

Yes, very much so — Dead Island 2 scores 84/100 similarity to Pathologic. They share 14 attributes, including deep RPG systems and adventure storytelling. It's one of the most direct alternatives available.

What RPG games are similar to Pathologic?

The best RPG games similar to Pathologic are Atomic Heart, Dead Island 2, Warhammer: End Times - Vermintide and Chernobylite. All share the RPG genre alongside other key Pathologic attributes like deep RPG systems, shooter and first-person shooting.

How is similarity to Pathologic calculated?

We compare Pathologic against every game in our catalog using 16 gameplay attributes: genre, atmosphere, world structure, play modes, combat style, and more. Each category is weighted differently — genre matters more than visual style, for instance. The result is a 0-100 score reflecting how closely a game replicates the Pathologic experience, not just whether it shares the same genre label.

50 Games like Pathologic 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.

Pathologic is hard to replace: few games combine deep RPG systems, strong narrative focus and open world exploration in quite the same way. We compared Pathologic against over 6,700 titles across 16 gameplay attributes and found 50 genuine alternatives — not generic genre suggestions. Atomic Heart, Dead Island 2 and Warhammer: End Times - Vermintide lead the list, with Atomic Heart reaching a 89/100 similarity score. Every game here is ranked by how closely it replicates what makes Pathologic special.

iRank80/ 100

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GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

Top games similar to Pathologic

50 similar games foundUpdated May 2026

Handpicked by our similarity algorithm, these are the titles with the highest gameplay match to Pathologic. Each one has been evaluated across 16 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.

#1Atomic HeartClosest overall match

iRank77

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeDarkOpen WorldHorrorExplorationFirst Person

Steam👍 81%· 48KIGDB72· 4OC74· 141

Year 2023Dev Mundfish · Focus EntertainmentOn Xbox · PS4 · PC

✓ Same family of first-person Action RPGs: deep RPG systems, shooter and first-person shooting

≠ Stands apart with action RPG combat, puzzle design and setting scifi, while skipping survival mechanics

Where it drifts furthest from Pathologic: setting.

Released 18 years after Pathologic.

Genre100Combat100Game mode100World100Progression100Visuals100

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Steam Xbox PS

#2Dead Island 2Closest on setting

iRank76

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeDarkOpen WorldHorrorPost-ApocalypticExplorationFirst Person

Steam👍 77%· 26KIGDB74· 6OC75· 159

Year 2023Dev Deep Silver Dambuster Studios · Deep SilverOn Xbox · PS4 · PC

✓ Same family of first-person Action RPGs: deep RPG systems, adventure storytelling and horror tension

≠ Where it differs: brings action RPG combat, co op and multiplayer gameplay, while skipping strong narrative focus

Where it drifts furthest from Pathologic: game mode and progression.

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

Released 18 years after Pathologic.

Genre100Combat100Setting100World100Visuals100Tone54

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Steam Epic Xbox

#3Warhammer: End Times - Vermintide

iRank79

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeDarkNarrativePost-ApocalypticHorrorFirst Person

Steam👍 80%· 21KIGDB80· 8OC77· 45

Year 2015Dev FatsharkOn PS4 · PC · Xbox

✓ Same family of first-person Action RPGs: deep RPG systems, shooter and adventure storytelling

≠ Stands apart with action RPG combat, fantasy world and co op, while skipping punishing difficulty

Where it drifts furthest from Pathologic: progression and game mode.

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

Released 10 years after Pathologic.

Genre100Combat100Visuals100Tone82Setting74Game mode21

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeDarkOpen WorldHorrorPost-ApocalypticExplorationFirst Person

Steam👍 82%· 15KIGDB76· 3OC76· 104

Year 2021Dev The Farm 51 · All In! GamesOn Xbox · PS4 · PC

✓ Same family of first-person Action RPGs: deep RPG systems, survival mechanics and horror tension

≠ Where it differs: brings deep simulation, stealth mechanics and setting scifi, while skipping punishing difficulty

Where it drifts furthest from Pathologic: progression and game mode.

Released 16 years after Pathologic.

Genre100World100Visuals100Setting84Tone83Combat40

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeOpen WorldPost-ApocalypticExplorationFirst Person

Steam👍 81%· 22KIGDB89· 10

Year 2008Dev Bethesda Game Studios · Bethesda SoftworksOn PlayStation 3 · PC

✓ Fits the first-person Action RPGs cluster, with deep RPG systems, shooter and survival mechanics

≠ Stands apart with action RPG combat, sandbox freedom and sandbox world, while skipping horror tension

Its strength is atmosphere and discovery: the Capital Wasteland rewards wandering, and the metro tunnels connecting it create a genuine sense of a broken city. VATS makes combat readable. The main quest is thin and railroads hard at the end, and the green filter over everything flattens the visual variety across dozens of hours.

Where it drifts furthest from Pathologic: combat and tone.

Released 3 years after Pathologic.

Genre100Game mode100Progression79Visuals71World66Setting60

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeOpen WorldPost-ApocalypticExplorationFirst Person

Steam👍 96%· 257KRAWG👍 89%· 2.6KMC84IGDB82· 9

Year 2010Dev Obsidian Entertainment · Bethesda SoftworksPlaytime ~12hOn PC · PS · Xbox

✓ Both are first-person Action RPGs — sharing deep RPG systems, shooter and survival mechanics

≠ Stands apart with action RPG combat, sandbox freedom and sandbox world, while skipping horror tension

The writing is why it endures: factions with coherent positions, quests that resolve several ways, and an ending that actually reflects a decade of small choices. Reputation matters everywhere. Technically it is fragile — it shipped buggy and remains so, with crashes common enough on modern systems that most players install community patches first.

Where it drifts furthest from Pathologic: combat.

Released 5 years after Pathologic.

Genre100Game mode100Visuals71World66Progression55Setting53

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeDarkNarrativeOpen WorldHorrorPost-ApocalypticExplorationFirst Person

Steam👍 95%· 486KRAWG👍 84%· 1.4KMC74IGDB72· 17OC74· 117

Year 2015Dev Techland · Warner Bros. InteractivePlaytime ~22hOn PC · PS · Xbox

✓ Both are first-person Action RPGs — sharing deep RPG systems, survival mechanics and horror tension

≠ Its own twist: action RPG combat, stealth mechanics and ranged combat, while skipping punishing difficulty

Dying Light is a first-person action horror game with the elements of survival. It is a first part of the Dying light series followed by Dying Light 2. The game is set in the open-world environment of fictional Harran city.

Where it drifts furthest from Pathologic: game mode and combat.

Released 10 years after Pathologic.

Genre100Setting100World100Visuals100Tone84Progression69

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeDarkNarrativeHorrorPost-ApocalypticFirst Person

Steam👍 88%· 129KIGDB81· 13OC78· 62

Year 2016Dev Tripwire Interactive · Iceberg InteractiveOn PS4 · PC · Xbox

✓ Both are first-person Action RPGs — sharing deep RPG systems, shooter and first-person shooting

≠ Stands apart with action RPG combat, setting scifi and multiplayer gameplay, while skipping adventure storytelling

Where it drifts furthest from Pathologic: progression and game mode.

Released 11 years after Pathologic.

Genre100Combat100Visuals100Setting87Tone85Game mode20

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeOpen WorldPost-ApocalypticExplorationFirst Person

Steam👍 81%· 424KRAWG👍 70%· 3.4KMC84IGDB85· 21OC87· 159

Year 2015Dev Bethesda Game Studios · Bethesda SoftworksPlaytime ~38hOn PC · PS · Xbox

✓ Both are first-person Action RPGs — sharing deep RPG systems, shooter and survival mechanics

≠ Where it differs: brings action RPG combat, sandbox freedom and third-person shooting, while skipping horror tension

The best shooting in the series by some distance, plus settlement building that becomes its own game if you let it. Power armour finally feels like a vehicle. The dialogue wheel is the loss — four options that collapse into the same outcome, and a voiced protagonist that narrows roleplaying compared with New Vegas.

Where it drifts furthest from Pathologic: combat.

Released 10 years after Pathologic.

Genre100Game mode100Visuals71World66Setting60Progression55

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Steam Xbox PS

#10Dying Light 2 Stay Human: Reloaded Edition

iRank75

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeDarkNarrativeOpen WorldHorrorPost-ApocalypticExplorationFirst Person

Steam👍 79%· 213KRAWG👍 65%· 444MC77IGDB77· 11OC76· 184

Year 2022Dev Techland · Techland PublishingPlaytime ~23hOn PC · PS · Xbox

✓ Both are first-person Action RPGs — sharing deep RPG systems, adventure storytelling and survival mechanics

≠ Stands apart with action RPG combat, co op and multiplayer gameplay, while skipping shooter

Dying Light 2 brings to life a unique post-apocalyptic vision of the Modern Dark Ages - a brutal, bleak and unforgiving reality where you are as likely to perish at the hand of a human as you are by the infected.

Where it drifts furthest from Pathologic: game mode.

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

Released 17 years after Pathologic.

Genre100Combat100Setting100World100Progression100Visuals100

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Steam Epic Xbox

#11Warhammer 40,000: Darktide

iRank74

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeDarkNarrativeHorrorFirst Person

Steam👍 71%· 132KIGDB78· 5OC75· 80

Year 2022Dev FatsharkOn Xbox · PC · PS5

✓ Both are first-person Action RPGs — sharing deep RPG systems, horror tension and shooter

≠ Where it differs: brings action RPG combat, fantasy world and co op, while skipping survival mechanics

Where it drifts furthest from Pathologic: progression and game mode.

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

Released 17 years after Pathologic.

Genre100Combat100Visuals100Tone84Setting59Game mode33

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Steam Xbox PS

#12RoboCop: Rogue City

iRank80

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeDarkFirst Person

Steam👍 87%· 34KIGDB74· 6OC73· 114

Year 2023Dev Teyon · NaconOn Xbox · PC · PS5

✓ Same family of first-person Action RPGs: deep RPG systems, shooter and first-person shooting

≠ Its own twist: action RPG combat, setting cyberpunk and setting scifi, while skipping survival mechanics

Where it drifts furthest from Pathologic: setting.

Released 18 years after Pathologic.

Genre100Combat100Game mode100Visuals100Tone83Setting0

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeDarkOpen WorldExplorationFirst Person

Steam👍 86%· 938KRAWG👍 83%· 3.0KMC73IGDB75· 21OC76· 226

Year 2020Dev CD Projekt Red · CD PROJEKT REDPlaytime ~29hOn PC · PS · Xbox

✓ Same family of first-person Action RPGs: deep RPG systems, adventure storytelling and shooter

≠ Its own twist: action RPG combat, sandbox freedom and sandbox world, while skipping survival mechanics

Cyberpunk 2077 is a science fiction game loosely based on the role-playing game Cyberpunk 2020. ###Setting The game is set in the year 2077 in a fictional futuristic metropolis Night City in California.

Where it drifts furthest from Pathologic: setting and combat.

Released 15 years after Pathologic.

Genre100Game mode100Tone83Progression79Visuals73World69

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Steam GOG Epic

#14Bright Memory: Infinite

iRank79

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeDarkHardcoreFirst Person

Steam👍 92%· 40KIGDB67· 5OC63· 95

Year 2021Dev FYQD-Studio · PLAYISMOn Xbox · Android · PC

✓ Same family of first-person Action RPGs: deep RPG systems, shooter and first-person shooting

≠ Its own twist: action RPG combat, setting scifi and skill tree progression, while skipping survival mechanics

Where it drifts furthest from Pathologic: setting and progression.

Released 16 years after Pathologic.

Genre100Combat100Game mode100Visuals100Tone71Setting0

Details →

Steam GOG Xbox

#15Dead RisingClosest on tone

iRank86

GenreRPGSubgenreAction RPGSub-subgenreThird-Person ARPG

SoloMeleeDarkNarrativeHardcoreOpen WorldHorrorExploration

Steam👍 88%· 7.1KIGDB82· 5

Year 2006Dev QLOC · CapcomOn PS4 · PC · Xbox

✓ Like Pathologic, it's known for deep RPG systems, adventure storytelling and survival mechanics

≠ Stands apart with action RPG combat, sandbox freedom and sandbox world, while skipping shooter

Where it drifts furthest from Pathologic: visuals.

Combat100Game mode100Tone100Genre75Setting75World62

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Steam Xbox PS

Complete list of Pathologic alternatives

The full catalog of games sharing gameplay DNA with Pathologic, 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.

The Outer Worlds

RPG · Action RPG

Starfield

RPG · Action RPG

Dead Island: Riptide

RPG · Action RPG

Grounded

RPG · Survival

Darkwood

RPG · Horror

Deus Ex: Mankind Divided

RPG · Shooter

The Sinking City

RPG · Action RPG

Arx Fatalis

RPG · Adventure

ULTRAKILL

RPG · Action RPG

Blasphemous II

RPG · Action RPG

Legend of Grimrock 2

RPG · Adventure

Kingdom Come: Deliverance II

RPG · Adventure

Dead Island

RPG · Action RPG

The Ship: Murder Party

RPG · Shooter

Lies of P

RPG · Action RPG

Ender Lilies: Quietus of the Knights

RPG · Action RPG

Legend of Grimrock

RPG · Adventure

Alice: Madness Returns

RPG · Action RPG

Darksiders: Warmastered Edition

RPG · Action RPG

Indiana Jones and the Great Circle

RPG · Adventure

Devil May Cry 3: Dante's Awakening - Special Edition

RPG · Action RPG

Darksiders III

RPG · Action RPG

The Elder Scrolls II: Daggerfall

RPG · Adventure

Kingdom Come: Deliverance

RPG · Action RPG

Avowed

RPG · Action RPG

Devil May Cry 3 Special Edition

RPG · Action RPG

Stick RPG 2: Director's Cut

RPG · Simulation

Maneater

RPG · Action RPG

Castlevania: Lords of Shadow 2

RPG · Action RPG

The Elder Scrolls: Arena

RPG · Sandbox

Infamous 2

RPG · Action RPG

Killer is Dead - Nightmare Edition

RPG · Action RPG

Surgeon Simulator 2013

RPG · Puzzle

Ultimate Spider-Man

RPG · Action RPG

The Amazing Spider-Man

RPG · Action RPG

Explore games similar to Pathologic by category

Recent releases similar to Pathologic

Newest titles in the list, for anyone who has already played the classics.

2025Kingdom Come: Deliverance II 2025Avowed 2024Indiana Jones and the Great Circle

Rankings in the same genre

Best First-Person Action RPGs Best Action RPGs Best RPG Games

Frequently asked questions

What is the best game similar to Pathologic?: The closest game to Pathologic is Atomic Heart, scoring 89/100 on our similarity scale. They share 13 gameplay attributes, including deep RPG systems, shooter and first-person shooting. It's the most faithful alternative currently available.
What are the top games like Pathologic?: The three closest games to Pathologic are: 1. Atomic Heart (89/100, 13 shared attributes) 2. Dead Island 2 (84/100, 14 shared attributes) 3. Warhammer: End Times - Vermintide (82/100, 13 shared attributes). All share Pathologic's most important gameplay attributes, ranked out of 50 candidates across 16 dimensions.
Is Dead Island 2 similar to Pathologic?: Yes, very much so — Dead Island 2 scores 84/100 similarity to Pathologic. They share 14 attributes, including deep RPG systems and adventure storytelling. It's one of the most direct alternatives available.
What RPG games are similar to Pathologic?: The best RPG games similar to Pathologic are Atomic Heart, Dead Island 2, Warhammer: End Times - Vermintide and Chernobylite. All share the RPG genre alongside other key Pathologic attributes like deep RPG systems, shooter and first-person shooting.
How is similarity to Pathologic calculated?: We compare Pathologic against every game in our catalog using 16 gameplay attributes: genre, atmosphere, world structure, play modes, combat style, and more. Each category is weighted differently — genre matters more than visual style, for instance. The result is a 0-100 score reflecting how closely a game replicates the Pathologic experience, not just whether it shares the same genre label.