Pathologic

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Pathologic is hard to replace: few games combine deep RPG systems, strong narrative focus and open world exploration in quite the same way. We analyzed over 2,000 titles across 16 gameplay attributes and found 55 genuine alternatives — not generic genre suggestions. Atomic Heart, Kingdom Come: Deliverance II and RoboCop: Rogue City lead the list, with Atomic Heart reaching a 96/100 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

Tags

NarrativeDarkSolo

Year 2005Dev Ice-Pick Lodge

Stores

Steam ↗GOG ↗

Quick answer

The closest game to Pathologic is Atomic Heart — scoring 96/100 on our similarity scale. Kingdom Come: Deliverance II and RoboCop: Rogue City follow close behind.

#1Atomic Heart96 #2Kingdom Come: Deliverance II92 #3RoboCop: Rogue City94 #4Bright Memory: Infinite91 #5Arx Fatalis89

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Games like Pathologic

55 similar games found

96

iRank77

Atomic Heart

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

#2Kingdom Come: Deliverance II

92

iRank91

Kingdom Come: Deliverance II

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeOpen WorldExplorationFirst Person

Steam👍 94%· 182KRAWG👍 85%· 153IGDB93· 4OC89· 172

Year 2025Dev Warhorse Studios · Deep SilverPlaytime ~28hOn PC · PS · Xbox

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

≠ Its own twist: deep simulation, setting medieval and historical setting, while skipping survival mechanics

#3RoboCop: Rogue City

94

iRank80

RoboCop: Rogue City

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

#4Bright Memory: Infinite

91

iRank79

Bright Memory: Infinite

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

89

iRank82

Arx Fatalis

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeDarkNarrativeOpen WorldHorrorPost-ApocalypticExplorationFirst Person

Steam👍 88%· 2.5KRAWG👍 79%· 171MC77IGDB78· 2

Year 2002Dev Arkane Studios · Bethesda SoftworksPlaytime ~1hOn PC · Xbox · Apple Macintosh

✓ Both are first-person Action RPGs — sharing deep RPG systems, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings puzzle design, stealth mechanics and combat magic, while skipping survival mechanics

86

iRank93

ULTRAKILL

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeHardcorePost-ApocalypticFirst Person

Steam👍 97%· 228KRAWG👍 87%· 141

Year 2020Dev Arsi "Hakita" Patala · New Blood InteractivePlaytime ~3hOn PC · Linux

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

≠ Where it differs: brings action RPG combat, precision platforming and ranged combat, while skipping adventure storytelling

#7Indiana Jones and the Great Circle

85

iRank89

Indiana Jones and the Great Circle

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeOpen WorldExplorationFirst Person

Steam👍 90%· 19KIGDB89· 12OC86· 226

Year 2024Dev MachineGames · Bethesda SoftworksOn Xbox · Switch · PC

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

≠ Its own twist: puzzle design, precision platforming and stealth mechanics, while skipping survival mechanics

#8Dying Light 2 Stay Human: Reloaded Edition

89

iRank75

Dying Light 2 Stay Human: Reloaded Edition

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

Steam Epic Xbox

89

iRank71

Starfield

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeOpen WorldExplorationFirst Person

Steam👍 57%· 173KIGDB85· 9OC84· 221

Year 2023Dev Bethesda Game Studios · Bethesda SoftworksOn Xbox · PC · PS5

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

≠ Stands apart with action RPG combat, sandbox freedom and deep simulation, while skipping survival mechanics

86

iRank84

Fallout 3

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

#11The Outer Worlds

86

iRank83

The Outer Worlds

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeOpen WorldExplorationFirst Person

Steam👍 82%· 28KIGDB86· 15OC83· 215

Year 2019Dev Obsidian Entertainment · Private DivisionOn Xbox · PS4 · 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 setting space, while skipping survival mechanics

#12Fallout: New Vegas

84

iRank89

Fallout: New Vegas

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

#13Cyberpunk 2077

85

iRank80

Cyberpunk 2077

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

84

iRank85

Grounded

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeOpen WorldHorrorExplorationFirst Person

Steam👍 90%· 94KIGDB78· 5OC82· 58

Year 2022Dev Obsidian Entertainment · Xbox Game StudiosOn Xbox · PS4 · PC

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

≠ Where it differs: brings sandbox freedom, sandbox world and multiplayer gameplay, while skipping shooter

#15Killing Floor 2

84

iRank84

Killing Floor 2

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

Steam Epic Xbox

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Fallout 4

Fallout 4

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Deus Ex: Mankind Divided

Deus Ex: Mankind Divided

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Kingdom Come: Deliverance

Kingdom Come: Deliverance

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Dead Island: Riptide

Dead Island: Riptide

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Warhammer 40,000: Darktide

Warhammer 40,000: Darktide

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Warhammer: End Times - Vermintide

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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 96/100 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 (96/100, 13 shared attributes) 2. Kingdom Come: Deliverance II (92/100, 8 shared attributes) 3. RoboCop: Rogue City (94/100, 9 shared attributes). All share Pathologic's most important gameplay attributes, ranked out of 55 candidates across 16 dimensions.
Is Kingdom Come: Deliverance II similar to Pathologic?: Yes, very much so — Kingdom Come: Deliverance II scores 92/100 similarity to Pathologic. They share 8 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, Kingdom Come: Deliverance II, RoboCop: Rogue City and Bright Memory: Infinite. 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.