Pathologic

16 Games like Pathologic on PS5 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 50 games similar to Pathologic down to the 16 that fit the “PS5” category. Dead Island 2, Chernobylite and Atomic Heart top the list, ranked by affinity and similarity score to Pathologic.

iRank80/ 100

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GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

Tags

NarrativeDarkSolo

Year 2005Dev Ice-Pick Lodge

Stores

Steam ↗GOG ↗

Quick answer

Within the “PS5” category, the closest game to Pathologic is Dead Island 2 — scoring 84/100 on our similarity scale. Chernobylite and Atomic Heart follow close behind.

#1Dead Island 284 #2Chernobylite81 #3Atomic Heart89 #4Warhammer 40,000: Darktide75 #5RoboCop: Rogue City71

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The best games like Pathologic on PS5

16 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.

#1Dead Island 2Closest on genre

84

Dead Island 2

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

Steam Epic Xbox

81

Chernobylite

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

#3Atomic HeartClosest overall match

89

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

Where it drifts furthest from Pathologic: setting.

Released 18 years after Pathologic.

Genre100Combat100Game mode100World100Progression100Visuals100

#4Warhammer 40,000: Darktide

75

Warhammer 40,000: Darktide

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

#5RoboCop: Rogue City

71

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

Where it drifts furthest from Pathologic: setting.

Released 18 years after Pathologic.

Genre100Combat100Game mode100Visuals100Tone83Setting0

71

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

At its best in the hand-built cities and the faction questlines, where the writing and the systems both hold. Ship building is deeper than it first appears. The exploration loop is the weak point — procedurally generated planets repeat their points of interest quickly, and the constant loading screens between surface, ship and space break any sense of continuity.

Where it drifts furthest from Pathologic: setting.

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

Released 18 years after Pathologic.

Genre100Combat100Game mode100Visuals71World69Progression67

#7Bright Memory: Infinite

70

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

Where it drifts furthest from Pathologic: setting and progression.

Released 16 years after Pathologic.

Genre100Combat100Game mode100Visuals100Tone71Setting0

66

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

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

Released 17 years after Pathologic.

Genre100Combat100World79Visuals73Setting67Progression34

#9The Sinking City

66

The Sinking City

GenreRPGSubgenreAction RPGSub-subgenreThird-Person ARPG

SoloMeleeNarrativeDarkOpen WorldHorrorExploration

Steam👍 76%· 5.3KIGDB70· 15OC69· 159

Year 2019Dev Frogwares · Bigben InteractiveOn Xbox · PS4 · PC

✓ Like Pathologic, it's known for deep RPG systems, shooter and horror tension

≠ Its own twist: action RPG combat, third-person shooting and puzzle design, while skipping survival mechanics

Where it drifts furthest from Pathologic: visuals.

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

Released 14 years after Pathologic.

Combat100Game mode100World100Progression100Tone84Genre75

65

Darkwood

GenreRPGSubgenreAction RPGSub-subgenreIsometric ARPG

SoloMeleeNarrativeDarkOpen WorldHorrorExploration

Steam👍 95%· 24KIGDB80· 8OC77· 44

Year 2017Dev Acid Wizard Studio · Crunching KoalasOn Xbox · PS4 · Linux

✓ Shared with Pathologic: deep RPG systems, horror tension and survival mechanics

≠ Its own twist: crafting mechanics, visual topdown and visual isometric, while skipping shooter

Where it drifts furthest from Pathologic: visuals.

Released 12 years after Pathologic.

Combat100Game mode100World100Tone83Genre75Setting75

#11Blasphemous II

58

Blasphemous II

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreNarrativeOpen WorldHorrorExploration

Steam👍 90%· 18KIGDB89· 4

Year 2023Dev The Game Kitchen · Team17On Xbox · PS4 · PC

✓ Like Pathologic, it's known for deep RPG systems, adventure storytelling and horror tension

≠ Stands apart with action RPG combat, precision platforming and Metroidvania exploration, while skipping survival mechanics

Where it drifts furthest from Pathologic: visuals and setting.

Released 18 years after Pathologic.

Combat100Game mode100World100Progression100Tone81Genre75

#12Lies of PClosest on tone

55

Lies of P

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkNarrativeOpen WorldHorrorExploration

Steam👍 92%· 78KIGDB86· 10OC82· 161

Year 2023Dev Round8 Studio · NeowizOn Xbox · PS4 · PC

✓ Shared with Pathologic: deep RPG systems, adventure storytelling and punishing difficulty

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

Where it drifts furthest from Pathologic: visuals and setting.

Released 18 years after Pathologic.

Combat100Game mode100Tone100World100Progression100Genre75

#13Darksiders: Warmastered Edition

55

Darksiders: Warmastered Edition

GenreRPGSubgenreAction RPGSub-subgenreThird-Person ARPG

SoloMeleeDarkNarrativeHardcoreOpen WorldPost-ApocalypticExploration

Steam👍 88%· 18KIGDB81· 11OC77· 63

Year 2016Dev Kaiko · Nordic Games GroupOn Xbox · PS4 · PC

✓ Like Pathologic, it's known for deep RPG systems, adventure storytelling and dark, oppressive atmosphere

≠ Its own twist: action RPG combat, Metroidvania exploration and puzzle design, while skipping survival mechanics

Where it drifts furthest from Pathologic: visuals and setting.

Released 11 years after Pathologic.

Combat100Game mode100Tone100World100Progression100Genre75

#14Indiana Jones and the Great Circle

53

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

Where it drifts furthest from Pathologic: setting and combat.

Released 19 years after Pathologic.

Genre100Game mode100World100Progression100Visuals62Tone56

51

Avowed

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloNarrativeDarkOpen WorldExplorationFirst Person

Steam👍 77%· 12KIGDB85· 5OC80· 200

Year 2025Dev Obsidian Entertainment · Xbox Game StudiosOn Xbox · PC · PS5

✓ Both are first-person Action RPGs — sharing deep RPG systems, adventure storytelling and strong narrative focus

≠ Stands apart with action RPG combat, combat magic and fantasy world, while skipping survival mechanics

Where it drifts furthest from Pathologic: combat and setting.

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

Released 20 years after Pathologic.

Genre100Game mode100World100Tone84Visuals53Progression50

Complete list of games like Pathologic on PS5

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.

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