Pathologic 3

Pathologic 3

Released Jan 2026

In this psychological horror game, you are a doctor with only 12 days to save a town from a mysterious plague. Make ruthless decisions and diagnose with precision. Shape the town's future and rewrite the past. Hold yourself together while it all falls apart.

80% positive · 2,824 reviews
Not yet
Released, but content still planned
High confidence
Content Planned
Not yet
Released, but content still planned
High confidence
Content Planned

Where to buy

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Evaluation

Pathologic 3 launched on January 9, 2026, and Ice-Pick Lodge has been actively supporting it ever since. In the weeks following launch, the studio shipped a rapid succession of hotfixes and feature patches addressing bugs, quest logic, UI improvements, and gameplay balance. On January 16, 2026, the developer published an explicit post outlining their post-launch plans, describing the launch as "only the beginning of Pathologic 3 support" and listing stability fixes, quality-of-life improvements, and additional content as ongoing priorities. On June 25, 2026, the producer published a detailed developer update confirming that a substantial new update is currently in internal testing and nearing a volunteer testing phase. This update includes multiple new features: a full difficulty system (adding a harder mode and a very easy mode on top of the existing difficulty), a photo mode, and new gameplay options for dealing with the Shabnak enemy. The developer noted they had been working on this for three months and were not yet ready to commit to a release date, but that internal testing was already underway. Both DLC items (a Supporter Pack and the game's Soundtrack) shipped on launch day and are cosmetic/support items rather than gameplay content. The active development signal comes entirely from the developer's own communications, which are consistent and ongoing.
Evidence
Producer Alexander Souslov confirmed a major update is in internal testing, adding difficulty levels (harder and very easy modes), a photo mode, new ways to deal with the Shabnak enemy, and further bug fixes and performance improvements. No release date announced yet, but volunteer testing is described as imminent.
news post · Jun 25, 2026 source content planned
high
One week after launch, Ice-Pick Lodge stated 'this is only the beginning of Pathologic 3 support,' listing stability fixes, QoL improvements, and additional content (including new dialogues for Stillwater residents) as explicit near-term priorities.
news post · Jan 16, 2026 source content planned
high

Content

2 of 2 released · no outstanding content

Media

Details

Developer
Publisher
HypeTrain Digital
Achievements
72
Platform
Windows
Controller
full support
Steam Deck
Playable
Players
Single-player

About this game

Pathologic 3 is a psychological horror game where you have only 12 days to save a town from a mysterious plague.

You are Daniil Dankovsky: physician, researcher, prodigy. Your research into the nature of death has brought you to this remote town deep in the eastern steppe, looking for a man said to be immortal.

But the outbreak of a deadly contagion sweeps through the town. The immortal man is dead. You failed to stop it.

Now you must return to the beginning. Fix your mistakes. Save the town.

Every minute counts. Save them all, discover the secrets of immortality... don't go mad in the process.

Bring your medical training to bear. Observation and knowledge are your tools. Work with patients face-to-face.

Examine the sick and make diagnoses. Each patient is a unique story — and a medical mystery. They may lie, omit the truth, or hide their motives. You must separate fact from fiction, and identify the real symptoms. Step by step, you'll get closer to developing a vaccine that could change everything.

Fight for every new day. Ensure the town's survival by imposing your own rules: enforce quarantines, confiscate precious medicine, vaccinate the population, suppress riots, deploy patrols, and declare curfews.

You will make mistakes, face their consequences, and unlock new decrees. Your actions will shape the town—even if the people grow to hate you for it. Power is in your hands. It's up to you whether the streets will see gunfire or fireworks.

Made a mistake? Go back, and fix it.

Time is your tool for navigating a narrative web filled with moral dilemmas and branching paths. Rewind if you think you could have done better. Keep your eye on your ultimate goal—even if the road there is paved with sacrifices.

How far will you go to find the truth? Your mental state directly affects your actions, and even how you interpret events. Falling into apathy or wandering into mania may lead you to new insights... or to your death.

Last evaluated Aug 18, 2026
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