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Pathologic

55 Games like Pathologic that you should try

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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

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.

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Games like Pathologic

55 similar games found
96
iRank77
Atomic Heart
RPGAction RPGFirst-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

Kingdom Come: Deliverance II
RPGAction RPGFirst-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

RoboCop: Rogue City
RPGAction RPGFirst-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

Bright Memory: Infinite
RPGAction RPGFirst-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
RPGAction RPGFirst-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
RPGAction RPGFirst-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

Indiana Jones and the Great Circle
RPGAction RPGFirst-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

Dying Light 2 Stay Human: Reloaded Edition
RPGAction RPGFirst-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

89
iRank71
Starfield
RPGAction RPGFirst-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
RPGAction RPGFirst-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

86
iRank83
The Outer Worlds
RPGAction RPGFirst-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

84
iRank89
Fallout: New Vegas
RPGAction RPGFirst-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

85
iRank80
Cyberpunk 2077
RPGAction RPGFirst-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
RPGAction RPGFirst-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

84
iRank84
Killing Floor 2
RPGAction RPGFirst-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

Games like Pathologic

Rankings in the same genre

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.