33 Games like Pathologic on Xbox 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 33 that fit the “Xbox” 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 like Pathologic on Xbox

33 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

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Steam Xbox PS

#5Atomic 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

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

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

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

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Steam Xbox PS

#9Warhammer 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

#10Dying Light 2 Stay Human: Reloaded Edition

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

#11RoboCop: Rogue City

iRank80

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

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Steam GOG Epic

#12Starfield

iRank71

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

GenreRPGSubgenreAction RPGSub-subgenreFirst-Person ARPG

SoloMeleeNarrativeDarkOpen WorldExplorationFirst Person

Steam👍 86%· 938KRAWG👍 83%· 3.0KMC73IGDB75· 21OC76· 226

Year 2020Dev CD Projekt Red · CD PROJEKT REDPlaytime ~29hOn PC · PS · Xbox

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

≠ Its own twist: action RPG combat, sandbox freedom and sandbox world, while skipping survival mechanics

Cyberpunk 2077 is a science fiction game loosely based on the role-playing game Cyberpunk 2020. ###Setting The game is set in the year 2077 in a fictional futuristic metropolis Night City in California.

Where it drifts furthest from Pathologic: setting and combat.

Released 15 years after Pathologic.

Genre100Game mode100Tone83Progression79Visuals73World69

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Steam GOG Epic

#14Bright Memory: Infinite

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

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Steam GOG Epic

Complete list of games like Pathologic on Xbox

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.