12 Games like Pathologic on Nintendo Switch 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 12 that fit the “Nintendo Switch” category. Chernobylite, Bright Memory: Infinite and The Outer Worlds 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 like Pathologic on Nintendo Switch

12 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.

#1ChernobyliteClosest overall match

iRank79

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

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Steam GOG Epic

#2Bright Memory: InfiniteClosest on combat

iRank79

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

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

Where it drifts furthest from Pathologic: setting.

Released 14 years after Pathologic.

Genre100Combat100World100Visuals100Game mode64Tone53

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

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Steam Xbox PS

#5The Sinking CityClosest on progression

iRank73

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

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

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

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Steam GOG Epic

#8Darksiders IIIClosest on tone

iRank71

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkNarrativeOpen WorldPost-ApocalypticExploration

Steam👍 76%· 17KIGDB65· 16OC68· 157

Year 2018Dev Gunfire Games · THQ NordicOn PS4 · PC · Xbox

✓ If you enjoyed Pathologic, expect deep RPG systems, adventure storytelling and punishing difficulty

≠ Its own twist: action RPG combat, puzzle design and fantasy world, 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 13 years after Pathologic.

Combat100Game mode100Tone100World100Progression100Genre75

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Steam GOG Epic

#9Darksiders: Warmastered Edition

iRank84

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

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Steam GOG Epic

#10Ender Lilies: Quietus of the Knights

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

#11Indiana Jones and the Great Circle

iRank89

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

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Steam GOG Xbox

#12Maneater

iRank80

GenreRPGSubgenreAction RPGSub-subgenreThird-Person ARPG

SoloMeleeDarkNarrativeOpen WorldExploration

Steam👍 87%· 25KIGDB73· 14OC71· 168

Year 2020Dev Blindside Interactive · Deep SilverOn Xbox · PS4 · PC

✓ Shared with Pathologic: deep RPG systems, adventure storytelling and dark, oppressive atmosphere

≠ Its own twist: action RPG combat, deep simulation and visual third person, while skipping survival mechanics

You play the shark. Eat fish, wildlife and swimmers to evolve, upgrade your bite and hunt the hunters back, all narrated as a straight-faced wildlife documentary. The B-movie tone is the appeal and it commits to it. The recurring complaint is technical rather than creative: crashes, stutter and startup failures on modern Windows come up constantly, even from players who finished it.

Where it drifts furthest from Pathologic: visuals.

Released 15 years after Pathologic.

Combat100Game mode100World100Progression100Tone83Genre75

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Steam Epic Xbox

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