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Pathologic

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Pathologic is hard to replace: few games combine deep RPG systems, strong narrative focus and open world exploration in quite the same way. We analyzed over 2,000 titles across 16 gameplay attributes and found 55 genuine alternatives — not generic genre suggestions. Atomic Heart, Kingdom Come: Deliverance II and RoboCop: Rogue City lead the list, with Atomic Heart reaching a 96/100 similarity score. Every game here is ranked by how closely it replicates what makes Pathologic special.

iRank80/ 100

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GenereRPGSottogenereRPG d'azioneSotto-sottogenereARPG in prima persona
Tags
NarrativoOscuroGiocatore singolo
Anno 2005Dev Ice-Pick Lodge

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Il gioco più simile a Pathologic è Atomic Heart — con un punteggio di similarità di 96/100. Kingdom Come: Deliverance II e RoboCop: Rogue City seguono da vicino.

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Giochi come Pathologic

55 giochi simili trovati
96
iRank77
Atomic Heart
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoNarrativoOscuroMondo apertoHorrorEsplorazionePrima persona
Steam👍 81%· 48KIGDB72· 4OC74· 141
Anno 2023Dev Mundfish · Focus EntertainmentSu 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

Kingdom Come: Deliverance II
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoNarrativoMondo apertoEsplorazionePrima persona
Steam👍 94%· 182KRAWG👍 85%· 153IGDB93· 4OC89· 172
Anno 2025Dev Warhorse Studios · Deep SilverDurata ~28hSu PC · PS · Xbox

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

≠ Its own twist: deep simulation, setting medieval and historical setting, while skipping survival mechanics

RoboCop: Rogue City
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoNarrativoOscuroPrima persona
Steam👍 87%· 34KIGDB74· 6OC73· 114
Anno 2023Dev Teyon · NaconSu 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

Bright Memory: Infinite
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoOscuroHardcorePrima persona
Steam👍 92%· 40KIGDB67· 5OC63· 95
Anno 2021Dev FYQD-Studio · PLAYISMSu 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

89
iRank82
Arx Fatalis
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoOscuroNarrativoMondo apertoHorrorPost-apocalitticoEsplorazionePrima persona
Steam👍 88%· 2.5KRAWG👍 79%· 171MC77IGDB78· 2
Anno 2002Dev Arkane Studios · Bethesda SoftworksDurata ~1hSu 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

86
iRank93
ULTRAKILL
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoHardcorePost-apocalitticoPrima persona
Steam👍 97%· 228KRAWG👍 87%· 141
Anno 2020Dev Arsi "Hakita" Patala · New Blood InteractiveDurata ~3hSu PC · Linux

✓ 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

Indiana Jones and the Great Circle
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoNarrativoMondo apertoEsplorazionePrima persona
Steam👍 90%· 19KIGDB89· 12OC86· 226
Anno 2024Dev MachineGames · Bethesda SoftworksSu 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

Dying Light 2 Stay Human: Reloaded Edition
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoOscuroNarrativoMondo apertoHorrorPost-apocalitticoEsplorazionePrima persona
Steam👍 79%· 213KRAWG👍 65%· 444MC77IGDB77· 11OC76· 184
Anno 2022Dev Techland · Techland PublishingDurata ~23hSu 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

89
iRank71
Starfield
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoNarrativoMondo apertoEsplorazionePrima persona
Steam👍 57%· 173KIGDB85· 9OC84· 221
Anno 2023Dev Bethesda Game Studios · Bethesda SoftworksSu 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

86
iRank84
Fallout 3
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoNarrativoMondo apertoPost-apocalitticoEsplorazionePrima persona
Steam👍 81%· 22KIGDB89· 10
Anno 2008Dev Bethesda Game Studios · Bethesda SoftworksSu 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

86
iRank83
The Outer Worlds
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoNarrativoMondo apertoEsplorazionePrima persona
Steam👍 82%· 28KIGDB86· 15OC83· 215
Anno 2019Dev Obsidian Entertainment · Private DivisionSu 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

84
iRank89
Fallout: New Vegas
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoNarrativoMondo apertoPost-apocalitticoEsplorazionePrima persona
Steam👍 96%· 257KRAWG👍 89%· 2.6KMC84IGDB82· 9
Anno 2010Dev Obsidian Entertainment · Bethesda SoftworksDurata ~12hSu 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

85
iRank80
Cyberpunk 2077
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoNarrativoOscuroMondo apertoEsplorazionePrima persona
Steam👍 86%· 938KRAWG👍 83%· 3.0KMC73IGDB75· 21OC76· 226
Anno 2020Dev CD Projekt Red · CD PROJEKT REDDurata ~29hSu 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

84
iRank85
Grounded
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoMondo apertoHorrorEsplorazionePrima persona
Steam👍 90%· 94KIGDB78· 5OC82· 58
Anno 2022Dev Obsidian Entertainment · Xbox Game StudiosSu 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

84
iRank84
Killing Floor 2
RPGRPG d'azioneARPG in prima persona
Giocatore singoloCorpo a corpoOscuroNarrativoHorrorPost-apocalitticoPrima persona
Steam👍 88%· 129KIGDB81· 13OC78· 62
Anno 2016Dev Tripwire Interactive · Iceberg InteractiveSu 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

Giochi come Pathologic

Classifiche dello stesso genere

Domande frequenti

What is the best game similar to Pathologic?
The closest game to Pathologic is Atomic Heart, scoring 96/100 on our similarity scale. They share 13 gameplay attributes, including deep RPG systems, shooter and first-person shooting. It's the most faithful alternative currently available.
What are the top games like Pathologic?
The three closest games to Pathologic are: 1. Atomic Heart (96/100, 13 shared attributes) 2. Kingdom Come: Deliverance II (92/100, 8 shared attributes) 3. RoboCop: Rogue City (94/100, 9 shared attributes). All share Pathologic's most important gameplay attributes, ranked out of 55 candidates across 16 dimensions.
Is Kingdom Come: Deliverance II similar to Pathologic?
Yes, very much so — Kingdom Come: Deliverance II scores 92/100 similarity to Pathologic. They share 8 attributes, including deep RPG systems and adventure storytelling. It's one of the most direct alternatives available.
What RPG games are similar to Pathologic?
The best RPG games similar to Pathologic are Atomic Heart, Kingdom Come: Deliverance II, RoboCop: Rogue City and Bright Memory: Infinite. All share the RPG genre alongside other key Pathologic attributes like deep RPG systems, shooter and first-person shooting.
How is similarity to Pathologic calculated?
We compare Pathologic against every game in our catalog using 16 gameplay attributes: genre, atmosphere, world structure, play modes, combat style, and more. Each category is weighted differently — genre matters more than visual style, for instance. The result is a 0-100 score reflecting how closely a game replicates the Pathologic experience, not just whether it shares the same genre label.