Pathologic

17 Survival games like Pathologic that you should try

Games like Pathologic · Find similar →

More about this game →

Ranking compiled by Lluis Enric Mayans, Founder & Head of ContentUpdated May 19, 2026How this is calculatedOrdered by an attribute-similarity model, not editorial opinion.

Filter by:Survival×← Back to home

We filtered the 50 games similar to Pathologic down to the 17 that fit the “Survival” category. Dead Island 2, Warhammer: End Times - Vermintide and Chernobylite top the list, ranked by affinity and similarity score to Pathologic.

iRank80/ 100

Did you find what you were looking for?

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

Tags

NarrativeDarkSolo

Year 2005Dev Ice-Pick Lodge

Stores

Steam ↗GOG ↗

Quick answer

Within the “Survival” category, the closest game to Pathologic is Dead Island 2 — scoring 84/100 on our similarity scale. Warhammer: End Times - Vermintide and Chernobylite follow close behind.

#1Dead Island 284 #2Warhammer: End Times - Vermintide82 #3Chernobylite81 #4Dying Light78 #5Fallout 379

🗳️

Help us build the best rankings

Community powered

Vote on each result below — good match or not. Every vote directly shapes how we rank similar games for everyone.

The best survival games like Pathologic

17 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 overall match

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

#2Warhammer: End Times - Vermintide

82

Warhammer: End Times - Vermintide

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

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

78

Dying Light

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

#5Fallout 3Closest on game mode

79

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

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

#6Killing Floor 2

77

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

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

Released 11 years after Pathologic.

Genre100Combat100Visuals100Setting87Tone85Game mode20

Steam Epic Xbox

#7Fallout: New Vegas

77

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

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

77

Fallout 4

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

#9Dying Light 2 Stay Human: Reloaded EditionClosest on progression

77

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

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

Steam Epic Xbox

#10Dead Island: Riptide

72

Dead Island: Riptide

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

#11Dead RisingClosest on tone

67

Dead Rising

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

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

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

62

Dead Island

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

#15The Ship: Murder Party

59

The Ship: Murder Party

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeFirst PersonMultiplayer

Steam👍 86%· 6.0KRAWG👍 41%· 179MC76IGDB80· 2

Year 2006Dev Outerlight · Blazing GriffinPlaytime ~3hOn PC

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

≠ Stands apart with stealth mechanics and multiplayer gameplay, while skipping adventure storytelling

The Ship: Murder Party is a first-person shooter video game made with Valve Corporation Source engine. The first playable concept of The Ship was released as a modification for well-known and famous video game Half-Life 2. The year is 1920.

Where it drifts furthest from Pathologic: tone and combat.

Genre100Visuals100Game mode50Combat47Tone46

Complete list of survival games 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.

Legend of Grimrock 2

Legend of Grimrock 2

RPG · Adventure

Legend of Grimrock

Legend of Grimrock

RPG · Adventure

Explore games similar to Pathologic by category

Rankings in the same genre

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