22 Games with a horror setting 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.

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We filtered the 50 games similar to Pathologic down to the 22 that fit the “Horror” category. Dead Island 2, Warhammer: End Times - Vermintide and Chernobylite top the list, ranked by affinity and similarity score to Pathologic.

iRank80/ 100

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GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

The best games with a horror setting like Pathologic

22 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

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

#2Warhammer: 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

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

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Steam Epic Xbox

#6Dying Light 2 Stay Human: Reloaded EditionClosest on progression

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

#7Arx FatalisClosest on game mode

iRank82

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

This critically acclaimed first-person RPG takes the player on an amazing journey into the fantasy world of Arx. The game mixes intelligent story with immersive and actual medieval surroundings. Arx Fatalis allows the player to feel that all his actions have a direct consequence on those around him.

Where it drifts furthest from Pathologic: combat.

Genre100Game mode100World100Visuals100Tone82Setting82

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloDarkHorrorPost-ApocalypticFirst Person

IGDB70· 8

Year 2011Dev Techland · Deep SilverOn PlayStation 3 · PC

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

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

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

Released 6 years after Pathologic.

Genre100Setting100Visuals100Tone48Game mode35Progression0

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#9Ender Lilies: Quietus of the KnightsClosest on tone

iRank88

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkNarrativePost-ApocalypticHorrorExploration

Steam👍 94%· 44KIGDB79· 5OC85· 65

Year 2021Dev adglobe · Binary Haze InteractiveOn Xbox · PS4 · PC

✓ Like Pathologic, it's known for deep RPG systems, adventure storytelling and punishing difficulty

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

Where it drifts furthest from Pathologic: visuals.

Released 16 years after Pathologic.

Combat100Game mode100Tone100Progression100Genre75Setting59

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Steam Epic Xbox

#10Atomic 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

#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

#12Dead Island: Riptide

iRank64

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeDarkOpen WorldHorrorExplorationFirst Person

IGDB64· 11

Year 2013Dev Techland · Deep SilverOn PlayStation 3 · PC

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

≠ Where it differs: brings action RPG combat, multiplayer gameplay and skill tree progression, while skipping adventure storytelling

Where it drifts furthest from Pathologic: tone.

Released 8 years after Pathologic.

Genre100Combat100World100Visuals100Setting70Progression70

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#13Dead Rising

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

#14Grounded

iRank85

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

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

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Steam GOG Xbox

Complete list of games with a horror setting like Pathologic

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.