Pathologic 2

Pathologic 2

Released May 2019

Pathologic 2 is a groundbreaking open-world horror RPG. Resist the plague. Make medicine. Heal people. Perform an autopsy. Trade to get what you need. Fight and kill if necessary. Survive. Struggle with an outbreak in a secluded rural town that is rapidly turning into hell.

92% positive · 12K reviews
Done
All announced content has been released
High confidence
Done
All announced content has been released
High confidence

Where to buy

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Evaluation

Pathologic 2 launched on May 23, 2019 and received post-launch patches and one paid story DLC — The Marble Nest — which released on October 28, 2019. All three items in the DLC list (The Marble Nest, the Artbook, and the Soundtrack) are released with no unreleased content remaining on the store. Developer communications on this game's page from 2024 onward are entirely focused on Pathologic 3, a fully separate sequel announced in October 2024 and released on January 9, 2026. Ice-Pick Lodge confirmed in their November 2024 FAQ that what was originally conceived as additional routes for Pathologic 2 grew into a standalone sequel. This means no further content is coming to Pathologic 2 itself — the studio's creative roadmap has concluded here and moved on. With all DLC shipped, no outstanding commitments, and no developer statements suggesting further updates or content for Pathologic 2, the game is a finished product as of October 28, 2019.
Evidence
Ice-Pick Lodge explained that the planned additional routes for Pathologic 2 grew beyond the DLC concept into a fully separate game (Pathologic 3), with the Bachelor's story becoming its own standalone title. No further content was announced for Pathologic 2 itself.
news post · Nov 15, 2024 source development ending
high
The Marble Nest, the final paid story DLC for Pathologic 2, released on October 28, 2019. All DLC items are now released with nothing remaining unreleased.
dlc listing · Oct 28, 2019 source content shipped
high

Content

3 of 3 released · no outstanding content
Released
May 2019

Media

Details

Developer
Publisher
tinyBuild
Achievements
50
Platform
Windows
Controller
full support
Steam Deck
Verified
Players
Single-player

About this game


Pathologic 2 is a narrative-driven dramatic thriller about fighting a deadly outbreak in a secluded rural town. The town is dying. Face the realities of a collapsing society as you make difficult choices in seemingly lose-lose situations. The plague isn’t just a disease. You can’t save everyone.



The plague is devouring the town. The chief local healer is dead, and you are now to take his place. You’ll have to look for unexpected allies. The local kids are hiding something. Try playing by their rules.

You only have 12 days.


  • 12 days in an odd town ravaged by a deadly disease.
  • Time is of the essence: if you don’t manage it carefully, it’ll simply run out. You’ll have to choose how to spend the priceless minutes you have.
  • Survival thriller. You’ll have to manage your bodily functions, offsetting hunger, thirst, exhaustion, and so on. It doesn’t boil down to scavenging resources. Surviving on your own is hard; you’ll have to win over allies.
  • An uphill battle. Managing your bodily parameters may seem bearable at first, and as time goes by, it becomes harder and harder. Your own body is only waiting for an opportunity to give up and betray you. Things are changing from bad to worse and the odds are stacked against you.
  • A duel with an enemy you can’t kill. Your main foe is the plague itself, an incorporeal and malevolent entity that you have to defeat… without having the means to. It’s more powerful and more treacherous than you can imagine.
  • Loot, murder, mug, steal, barter, beg… or don’t. You need resources to survive, and it’s up to you how to obtain them.
  • The fights are short, ungraceful, and vicious. They’re not always lethal though. Many people—yourself included—would prefer to exchange their wallet for their life.
Last evaluated Sep 17, 2026
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