Games like Pathologic · Find similar →
More about this game →We filtered the 50 games similar to Pathologic down to the 12 that fit the “Hardcore” category. Dead Rising, Devil May Cry 3: Dante's Awakening - Special Edition and Lies of P top the list, ranked by affinity and similarity score to Pathologic.
Did you find what you were looking for?
Quick answer
Within the “Hardcore” category, the closest game to Pathologic is Dead Rising — scoring 67/100 on our similarity scale. Devil May Cry 3: Dante's Awakening - Special Edition and Lies of P follow close behind.
Help us build the best rankings
Community poweredVote on each result below — good match or not. Every vote directly shapes how we rank similar games for everyone.
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.
✓ 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.
✓ Shared with Pathologic: deep RPG systems, adventure storytelling and shooter
≠ Where it differs: brings action RPG combat, third-person shooting and fighting mechanics, while skipping survival mechanics
Where it drifts furthest from Pathologic: visuals.
On reception: its Steam reviews are mixed, against very positive for Pathologic.
✓ 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.
✓ 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.
✓ 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.
✓ 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.
✓ If you enjoyed Pathologic, expect deep RPG systems, adventure storytelling and dark, oppressive atmosphere
≠ Stands apart with action RPG combat, fighting mechanics and fantasy world, while skipping survival mechanics
Devil May Cry 4 Special Edition is a remastered version of slasher called Devil May Cry 4 developed by Capcom. ###Setting The game takes place in a city called Fortune which is ruled by the Order of the Sword that worships the Dark Knight Sparda, who protects the city from demons.
Where it drifts furthest from Pathologic: visuals and setting.
Released 10 years after Pathologic.
✓ 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.
✓ 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.
✓ Same family of first-person Action RPGs: deep RPG systems, adventure storytelling and survival mechanics
≠ Stands apart with puzzle design, combat magic and ranged combat, while skipping shooter
Where it drifts furthest from Pathologic: combat and setting.
Released 9 years after Pathologic.
✓ Like Pathologic, it's known for deep RPG systems, punishing difficulty and dark, oppressive atmosphere
≠ Where it differs: brings puzzle design, deep simulation and vibe casual, while skipping adventure storytelling
Released 8 years after Pathologic.
✓ 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
Movement-first shooting where healing comes from standing close to what you are killing, so the loop pushes you into danger constantly. Style ranking rewards variety over efficiency. Its ceiling is very high and very demanding — the systems assume you will learn cancels and parries, and it is still in early access with the final chapters unfinished.
Where it drifts furthest from Pathologic: setting and combat.
Released 15 years after Pathologic.