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Games Like Pathogenesis: Overcome

60+ similar titles based on shared tags and player behavior. Themes include Action, RPG, Singleplayer, Survival.

Pathogenesis: Overcome header art

Narrative-driven action RPG set in post-pandemic Russia, featuring hardcore gameplay, tactical combat, open-environment exploration, and survival elements. Personal story set in a collapsed world, where armed survivors and emerging factions pose a far greater threat than the infected.

Reviews: Mostly Positive — 74% — of 148 reviews
Released: 2023-09-04
Developer: 269th lab games softworks
Genres: Action, RPG, Early Access
Platforms: Windows

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  1. #1 Decision: Red Daze
    97% matchMostly Positive74% of 872 reviews2022
    Dev: FlyAnvilPub: Nordcurrent Labs
    Windows
    Median: 3.2 hrsMean: 10.3 hrs≥1hr: 72%

    Decision: Red Daze is an action RPG with a unique mix of survival and tower defense mechanics. Explore an apocalyptic wasteland, build a safe haven, and lead your team of specialists in a hopeless world, searching for a cure for the infectious disease that turns people into monsters.

    Why similar: Zombies 23.3%, Survival 17%, Isometric 16.9%, Action RPG 13%, Open World 10.1%

  2. #2 Soviet Survival
    96% matchMostly Positive78% of 63 reviews2025
    Dev: Hunt Studio
    Windows

    Soviet Survival is an isometric, open-world survival game where you must find your place in the ruined Soviet Union.

    Why similar: Zombies 24.2%, Isometric 23.5%, Survival 17.4%, Sandbox 15%, Open World 10.9%

  3. #3 iZolated
    96% matchMostly Positive71% of 116 reviews2024
    Dev: Crooked RoadPub: LT-Games
    Windows

    iZolated - This is a post-apocalyptic 2D action game with elements of survival and RPG, which throws you into a harsh open world where the slightest mistake costs you your life. Find equipment, engage in fights, and prove that you are the top of the food chain in this chaos!

    Why similar: Gun Customization 31.4%, Zombies 14.5%, Sandbox 14%, Survival 9.7%, Open World 8%

  4. #4 Z.O.N.A: Origin
    94% matchVery Positive84% of 486 reviews2025
    Dev: AGaming+
    Windows

    Z.O.N.A: Origin is an immersive adventure in a harsh post-apocalyptic world. Dive into a captivating story, explore a stunning open world, avoid dangerous anomalies, and hunt for powerful artifacts. Every choice you make can be decisive in this unpredictable world.

    Why similar: Gun Customization 33.3%, Realistic 12.1%, Action RPG 10.4%, Open World 10.3%, RPG 8%

  5. #5 Delivery from the Pain:Survival / 末日方舟:生存
    95% matchVery Positive81% of 1,006 reviews2019
    Dev: HuaYiTianXinPub: DigiPotato
    Windows
    Median: 4.2 hrsMean: 15.4 hrs≥1hr: 76%

    You'll play as a survivor in a world overrun by zombies. Explore and interact with other survivors, making tough choices about whether to help or exploit them. Defend against zombies, collect resources, craft, and fortify your shelter. Use strategy to escape this world and return to safety.

    Why similar: Zombies 25.9%, Survival 19.5%, Violent 14.9%, Gore 9.5%, Open World 9.3%

  6. #6 Undead World
    94% matchVery Positive89% of 131 reviews2023
    Dev: Undead World Team
    Windows · Linux

    Action rpg that containst fast-Paced combat and survival elements. Use your skills to defeat the Undead.

    Why similar: Isometric 23.8%, Violent 17.8%, Action-Adventure 17.1%, Action RPG 13.5%, RPG 11.7%

  7. #7 Tunguska: The Visitation - Final Cut
    93% matchVery Positive88% of 1,757 reviews2021
    Dev: Rotorist Workshop
    Windows
    Median: 1.6 hrsMean: 9.6 hrs≥1hr: 60%

    Tunguska: The Visitation is a single player top-down shooter RPG. Seek fortune as a Ghoul Hunter in an abandoned Soviet Exclusion Zone. Use your grit and ingenuity to survive deadly radiation, mysterious anomalies, and poisonous mutants. Go in guns-blazing, or stay in the shadows - your choice.

    Why similar: Zombies 25.6%, Survival 21.4%, Action RPG 17.3%, Action-Adventure 12.6%, RPG 8.7%

  8. #8 SurrounDead
    91% matchVery Positive92% of 23,544 reviews2022
    Dev: ZurvivorPub: PlaySurrounDead
    Windows
    Median: 5.8 hrsMean: 15.2 hrs≥1hr: 81%

    SurrounDead is an open world survival game. Taking place in a world ravaged by an apocalyptic catastrophe. The dead reign free and will stop at nothing to kill you.

    Why similar: Zombies 39.3%, Survival 26.2%, Open World 15.8%, RPG 7.2%, Exploration 6.5%

  9. #9 Frozen State
    92% matchMixed64% of 549 reviews2016
    Dev: Flox StudiosPub: Flox Studios
    Windows · Mac · Linux
    Median: 42 minMean: 4.3 hrs≥1hr: 42%

    Frozen State is a brutal, survival game set in a world embraced by the man-made ice age meant to protect mankind from pestilent hybrids. Bitter cold and numbing fear are the constant companions in the journey through the retro-futuristic Frozen State world.

    Why similar: Survival 23.7%, Zombies 21.2%, Isometric 15.2%, RPG 9.3%, Sandbox 8%

  10. #10 Mist Survival
    91% matchMostly Positive76% of 14,042 reviews2018
    Dev: Dimension 32 Entertainment
    Windows
    Median: 3.8 hrsMean: 15.0 hrs≥1hr: 73%

    MIST SURVIVAL is a Single-player, survival stealth sandbox game Players will experience the Apocalypse stimulation in the form of virus pandemic, the players have to deal with it to survive through the difficulties such as finding shelter and food, threats from the environment and climate: wild animals, bandits, infected, and dense mist t

    Why similar: Zombies 29.8%, Survival 29.3%, Open World 13.7%, Sandbox 10.2%, Violent 6%

  11. #11 Death Trash
    89% matchVery Positive93% of 3,662 reviews2021
    Dev: Crafting Legends
    Windows · Mac · Linux
    Median: 2.2 hrsMean: 4.7 hrs≥1hr: 65%

    Death Trash features a post-apocalyptic world where cosmic horrors long for humanity but meet punks with shotguns. It combines old-school role-playing, modern action gameplay and player freedom. Create your own character and explore a handcrafted world.

    Why similar: Isometric 34%, Action RPG 17.8%, Open World 12.2%, Exploration 12%, RPG 10.9%

  12. #12 Exanima
    90% matchVery Positive80% of 13,229 reviews2015
    Dev: Bare Mettle Entertainment
    Windows
    Median: 4.2 hrsMean: 19.6 hrs≥1hr: 75%

    Explore, fight, survive and unravel mysteries in this unique and unforgiving 3D isometric RPG set in an original dark, low fantasy world. Exanima's exceptional attention to detail and realistic simulation of all things aim to provide a deeply immersive and dynamic gameplay experience.

    Why similar: Isometric 50.2%, RPG 28.6%, Nudity 11.1%, Action 5.8%, Singleplayer 4.4%

  13. #13 Survival Nation: Lost Horizon
    89% matchMixed58% of 125 reviews2024
    Dev: Wenkly Studio Sp. z o.o.Pub: indie.io
    Windows · Linux

    Survival Nation: Lost Horizon is an open-world, top-down zombie survival game. Keep yourself and other survivors alive in a world gone to the zombies, upgrade your gear and skills, and keep civilization going in a world where humans are the top pick on the menu.

    Why similar: Gun Customization 27.5%, Zombies 17.7%, Survival 13.2%, Realistic 11.7%, Action RPG 11%

  14. #14 Pathologic 2
    88% matchVery Positive92% of 11,869 reviews2019
    Dev: Ice-Pick LodgePub: tinyBuild
    Windows
    Median: 4.6 hrsMean: 12.4 hrs≥1hr: 86%

    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.

    Why similar: Survival 25.6%, Isometric 25.4%, Story Rich 16.1%, RPG 15.2%, Open World 13.2%

  15. #15 SCUM
    85% matchMostly Positive74% of 122,922 reviews2025
    Dev: Gamepires
    Windows
    Median: 11.9 hrsMean: 102.0 hrs≥1hr: 93%

    Traverse punishing environments, looting, crafting and evading the constant threats to your life. The unprecedented levels of character customization and progression are your ultimate tools for survival.

    Why similar: Zombies 16.1%, Survival 14.1%, Violent 11.6%, Sandbox 11.2%, Realistic 11.1%

  16. #16 Next Day: Survival
    87% matchMixed62% of 10,257 reviews2018
    Dev: SOFF GamesPub: Last Level
    Windows
    Median: 3.0 hrsMean: 21.6 hrs≥1hr: 68%

    Next Day is a multi-player SURVIVAL game with elements of RPG, in an imaginary country in Eastern Europe. Carry out an array of tasks, learn skills, and develop your character. Have shootouts with opponents and earn a reputation.

    Why similar: Survival 48.3%, Open World 25.6%, Sandbox 12.2%, RPG 8.1%, Action 3.2%

  17. #17 Almost Alive
    86% matchMostly Positive73% of 224 reviews2018
    Dev: Emir CerimovicPub: Emir Games
    Windows

    Almost Alive is redefining the role playing tactical games with an awesome fast paced but complexe real time combat system in a mad hand drawn post apocalyptic world that features character mental sanity, destructible environment, a cover system, tons of loot, a none linear story, and a lot of humor.

    Why similar: RPG 40.8%, Violent 26.7%, Gore 19.8%, Action 12.7%

  18. #18 Overgrown: Genesis
    86% matchVery Positive82% of 227 reviews2020
    Dev: Dystopian ProjectPub: TinyHat Studios
    Windows
    Median: 2.2 hrsMean: 3.3 hrs≥1hr: 68%

    Survival Horror, with an erotic twist. A zombie outbreak ravages the world- you find yourself caught in the wrong place, at the wrong time. Stranded on the wrong side of the outbreak, will you be able to survive and fend off the shuffling hordes?

    Why similar: Nudity 30.4%, RPG 23.5%, Zombies 15.8%, Violent 14.7%, Action 7.6%

  19. #19 Bad 2 Bad: Apocalypse
    84% matchMostly Positive77% of 868 reviews2024
    Dev: DAWINSTONE
    Windows
    Median: 9.9 hrsMean: 23.3 hrs≥1hr: 87%

    The open-world survival role-playing game "Bad 2 Bad: Apocalypse" tells the story of Delta Team and his comrades as they work to rebuild a world devastated by humans and their race turned into zombies.

    Why similar: Gun Customization 30.7%, Zombies 19.3%, Survival 13%, Action RPG 12.6%, Open World 8.7%

  20. #20 Fargone
    84% matchMixed69% of 559 reviews2022
    Dev: RedDot Games
    Windows
    Median: 54 minMean: 6.1 hrs≥1hr: 45%

    Fargone is an RPG-based survival game with a strong focus on creating a living, breathing world through dynamic events, and NPC interactions. Set in a fictional land known only as The Barrens, you must survive by any means, whether that be alone or by allying yourself with a faction.

    Why similar: Sandbox 23.5%, Survival 22.1%, Action RPG 17.9%, RPG 12.5%, Open World 12.2%

  21. #21 Atomfall
    82% matchMostly Positive78% of 4,854 reviews2025
    Dev: Rebellion
    Windows
    Median: 7.0 hrsMean: 12.4 hrs≥1hr: 88%

    A nuclear disaster has left an area of Britain in tatters. Atomfall, a new survival-action game, will see you explore, scavenge, craft, barter and fight your way through beautifully recreated scenery in search of answers.

    Why similar: Action RPG 17.7%, Open World 17.2%, Survival 16.4%, Action-Adventure 13.3%, Violent 10.3%

  22. #22 ZERO Sievert
    81% matchVery Positive85% of 14,699 reviews2024
    Dev: CABO StudioPub: Modern Wolf
    Windows
    Median: 6.3 hrsMean: 23.8 hrs≥1hr: 82%

    Now with over 500,000 copies sold, ZERO Sievert is a tense top-down extraction shooter that challenges you to scavenge a procedurally-generated wasteland, loot gear, and explore what’s left of a devastated world. When the odds are stacked against you, you’ll need to do more than just survive...

    Why similar: Survival 42.3%, Open World 19.7%, Exploration 13.7%, Top-Down 12.9%, Action 5.8%

  23. #23 The Last Plague: Blight
    80% matchVery Positive89% of 1,349 reviews2024
    Dev: Original Studios
    Windows · Mac · Linux
    Median: 6.1 hrsMean: 13.5 hrs≥1hr: 82%

    The Last Plague: Blight is an authentic survival experience rooted in realism and immersion. Endure the hazards of a brutal open world and uncover the origins of a mysterious disease. You are humanity’s final hope in ending the Blight

    Why similar: Survival 29.1%, Realistic 27.5%, Sandbox 25.4%, Top-Down 11.2%, Singleplayer 3.8%

  24. #24 Shadows of Kurgansk
    83% matchMixed66% of 222 reviews2016
    Dev: Yadon StudioPub: Gaijin inCubator
    Windows · Mac · Linux
    Median: 3.1 hrsMean: 5.3 hrs≥1hr: 90%

    “Shadows of Kurgansk” is an adventure game, where you need to survive in an area full of danger and mystery. Your goal is to stay alive and find the way out, fighting monsters and completing story driven missions. Fight zombies, build asylums, find your way back home!

    Why similar: Zombies 29.6%, Survival 27.3%, Sandbox 17.3%, RPG 13.3%, Open World 5.7%

  25. #25 Z.O.N.A Project X VR
    79% matchMostly Positive78% of 298 reviews2023
    Dev: AGaming+
    Windows

    Z.O.N.A Project X - thrilling single-player VR shooter. Explore Chornobyl's exclusion zone, a hazardous apocalyptic world filled with anomalies. Survive using your weapons, scavenge for resources, and save humanity from doom.

    Why similar: Gun Customization 30.2%, Open World 11.2%, Realistic 11%, Survival 10.9%, Action RPG 9.6%

  26. #26 Survivalist
    79% matchVery Positive80% of 2,560 reviews2015
    Dev: BobPub: Ginormocorp Incorporated
    Windows
    Median: 3.1 hrsMean: 5.8 hrs≥1hr: 87%

    It's one year after the collapse of civilization and self-centered hedge fund manager Joe Wheeler emerges from his specially constructed bunker in search of food. This is a huge open-world RPG where you have the freedom to play how you want - but your choices have consequences.

    Why similar: Zombies 26.4%, Survival 22.3%, Sandbox 11.2%, Open World 9.3%, Action RPG 8.9%

  27. #27 The Last Stand: Aftermath
    77% matchVery Positive81% of 6,552 reviews2021
    Dev: Con Artist GamesPub: Armor Games Studios
    Windows
    Median: 4.2 hrsMean: 13.6 hrs≥1hr: 83%

    From the creators of The Last Stand: Union City and Dead Zone comes an all-new singleplayer rogue-lite action adventure. After you become infected by the zombie virus, you set out to explore the post-apocalypse and find hope for your fellow survivors. You can still make a difference. Don't give up.

    Why similar: Zombies 38.9%, Survival 25.3%, Violent 13.9%, Action RPG 9.6%, Top-Down 6.2%

  28. #28 Junk Survivor
    77% matchMostly Positive72% of 78 reviews2023
    Dev: Neojac Entertainment Inc.
    Windows

    Junk Survivor is a zombie post-apocalypse game where you loot, craft, build and farm in a struggle to survive. With a vast map to explore, a robust skillset to unlock this customizable sandbox awaits the adventurer. How long before you die!

    Why similar: Zombies 27.1%, Survival 19.9%, Sandbox 15.6%, Action-Adventure 13.1%, Open World 11.9%

  29. #29 Jaws Of Extinction™
    78% matchMixed54% of 386 reviews2019
    Dev: Blood Eater GamesPub: Forthright Entertainment
    Windows

    The island of Eden-Nadir, has fallen to a vicious mind consuming fungal parasite. Fight through the ashes of humanity to track down the truth behind the infection as one of four playable survivors before the outbreak spreads throughout the world.

    Why similar: Zombies 26.3%, Survival 20.8%, Violent 15.6%, RPG 12.4%, Gore 9.8%

  30. #30 Dead State: Reanimated
    78% matchMostly Positive73% of 2,543 reviews2014
    Dev: DoubleBear Productions
    Windows
    Median: 6.4 hrsMean: 16.4 hrs≥1hr: 90%

    Dead State is a narrative-driven survival RPG set at the dawn of the undead apocalypse. Drawing inspiration from classic RPGs like Fallout, X-Com, and Suikoden, Dead State combines strategic, turn-based combat with base building mechanics, character creation, and social management.

    Why similar: Zombies 43.5%, Survival 25.2%, RPG 12.7%, Isometric 4.6%, Sandbox 4.5%

  31. #31 Vorax
    76% matchMixed63% of 134 reviews2024
    Dev: IndieGala
    Windows

    In the gripping world of VORAX survival takes on a new terrifying dimension. As you step into this Open World Survival Horror game brace yourself for a journey where every moment is a battle for survival. Every choice, every move, every breath could be your last. Are you ready to face the unknown?

    Why similar: Zombies 20.6%, Action-Adventure 16.2%, Survival 15.6%, Sandbox 13.4%, Realistic 11.7%

  32. #32 Raise Your Tribe
    76% matchMixed58% of 64 reviews2025
    Dev: Primeval Forest Studios
    Windows

    A hardcore tactical shooter with horror elements. Battle Machines and Mutants, and build your legacy on a deadly post-apocalyptic Cyberpunk Island. Explore dangerous zones, craft powerful gear, and shape your Cyberware build. Uncover secrets and fight to survive in a brutal, immersive world!

    Why similar: Survival 23%, Action RPG 20.6%, Open World 18.7%, Realistic 17.2%, RPG 14.5%

  33. #33 Survive the Fall
    74% matchMixed69% of 656 reviews2025
    Dev: Angry Bulls StudioPub: Toplitz Productions
    Windows
    Median: 2.7 hrsMean: 8.5 hrs≥1hr: 91%

    Explore, loot and fight in an open world action game set in a post-apocalyptic future after a devastating meteor strike. Assemble your team and take the fight to the enemy or choose a stealthy approach to gain the upper hand. Expand your base to research new gear and get ready to survive the fall.

    Why similar: Isometric 24.9%, Survival 17.4%, Tactical 16.5%, Open World 10.8%, RPG 9%

  34. #34 Dread Dawn
    73% matchMostly Positive72% of 2,198 reviews2024
    Dev: Kioop
    Windows
    Median: 2.9 hrsMean: 24.5 hrs≥1hr: 73%

    This is an open-world zombie survival game set in a quarantined city. You play as a student left behind due to missing the evacuation convoy. Together with classmates and other survivors, you must defend the school, survive, and await rescue.

    Why similar: Zombies 25.5%, Survival 15.8%, Sandbox 13.9%, Isometric 13.3%, Open World 8.7%

  35. #35 V1RUZ
    74% matchMixed61% of 59 reviews2022
    Dev: Polyverse GamesPub: Polyverse Studio
    Windows

    In V1RUZ, you see yourself stuck in the middle of an ever growing virus epidemic in the USA. Learn how to craft weapons, tools and fight against the living and the dead to survive in this cruel, rotting world.

    Why similar: RPG 59%, Violent 20.6%, Action 20.4%

  36. #36 V.O.D.K.A. Open World Survival Shooter
    75% matchMostly Negative39% of 96 reviews2021
    Dev: Guilty Pleasure Games
    Windows

    V. O. D. K. A. is a survival shooter in the open world, the game takes place in a fictional state in eastern Europe, most of the territory of which is infected with radiation. Your main task is survival.

    Why similar: Survival 22%, Sandbox 20%, RPG 15.7%, Realistic 14.2%, Open World 13.7%

  37. #37 Ice Station Z
    73% matchMostly Positive76% of 204 reviews2021
    Dev: Wobbly Tooth
    Windows

    Thirdperson Open World Zombie Survival.

    Why similar: Sandbox 23.1%, Zombies 20.6%, Action-Adventure 15%, Realistic 14.8%, Exploration 12.3%

  38. #38 Dead Matter
    75% matchMostly Negative21% of 882 reviews2023
    Dev: QI Games
    Windows

    After a rampant viral outbreak causes global society to collapse, you must survive the harsh wilderness of the Canadian Rockies amidst vast hordes of Infected and rival survivors.

    Why similar: Zombies 32.5%, Survival 22.4%, Sandbox 22.3%, Open World 14.8%, Action 4.3%

  39. #39 Chernobylite 2: Exclusion Zone
    71% matchMixed65% of 708 reviews2025
    Dev: The Farm 51
    Windows
    Median: 3.6 hrsMean: 6.5 hrs≥1hr: 84%

    Explore the mysterious, beautiful, yet dark world of the Chornobyl Exclusion Zone in this post-apocalyptic action-RPG. Make your mark on this world, through your character development, choices and playstyle. But remember – everything has a price and consequences.

    Why similar: Gun Customization 38.4%, Action RPG 14.1%, Open World 13.5%, RPG 11.6%, Story Rich 8.4%

  40. #40 Walking Zombie 2
    72% matchVery Positive88% of 13,034 reviews2019
    Dev: Alda Games
    Windows
    Median: 2.1 hrsMean: 12.9 hrs≥1hr: 65%

    Zombie singleplayer shooter in modern polygon graphics with rich RPG elements.

    Why similar: Gun Customization 23.8%, Zombies 20%, Survival 13%, Sandbox 12.1%, Action RPG 9.8%

  41. #41 Outbreak Island
    70% matchVery Positive80% of 906 reviews2025
    Dev: Tiny Magicians
    Windows
    Median: 2.4 hrsMean: 4.7 hrs≥1hr: 72%

    Survive on a remote Island, where a mysterious Outbreak awakens bloodthirsty monsters at night. Craft, build and defend your base in the brutal world of Outbreak Island, an open-world sandbox survival horror game.

    Why similar: Sandbox 21.7%, Survival 21.5%, Zombies 18.2%, Exploration 11%, Open World 9.4%

  42. #42 Invasion 2037
    73% matchMixed60% of 157 reviews2019
    Dev: Little Beavers Games
    Windows

    Become a survival scientist in a savage post-apocalyptic world where aliens have the control of the world and find a cure, manage your shelter and fight to survive

    Why similar: Zombies 26%, Survival 23.1%, Violent 20%, Open World 11%, Exploration 6.7%

  43. #43 CHEMISTS: Area of infection
    71% matchMostly Positive74% of 80 reviews2022
    Dev: RPAXPub: GAMEPORTAL.CO
    Windows

    A year after the global catastrophe, you woke up in a hospital and don't remember anything. You have to not only find out what happened, but also try to survive in this harsh dangerous world.

    Why similar: Zombies 25.3%, Survival 19.1%, Realistic 17.5%, Action-Adventure 13.4%, Open World 12.3%

  44. #44 REMEDIUM
    70% matchMixed64% of 88 reviews2023
    Dev: Sobaka StudioPub: ESDigital Games
    Windows · Linux

    The fast-paced twin-stick shooter game in the grim post-apocalyptic Renaissance setting. It had been more than a hundred years since the terrible plague devoured the whole continent and turned almost everyone there in the maddened mutants.

    Why similar: Gun Customization 35%, Isometric 24.1%, Action RPG 12.9%, Gore 8.6%, RPG 8.1%

  45. #45 Atomic Heart
    68% matchVery Positive81% of 45,312 reviews2023
    Dev: MundfishPub: Focus Entertainment
    Windows
    Median: 9.6 hrsMean: 26.0 hrs≥1hr: 93%

    In a mad and sublime utopian world, take part in explosive encounters. Adapt your fighting style to each opponent, use your environment and upgrade your equipment to fulfill your mission. If you want to reach the truth, you'll have to pay in blood.

    Why similar: Action-Adventure 24.1%, Open World 21.2%, RPG 17.8%, Gore 13.1%, Exploration 11.2%

  46. #46 P.A.M.E.L.A.®
    71% matchMixed59% of 919 reviews2020
    Dev: NVYVE® Studios
    Windows
    Median: 1.4 hrsMean: 10.4 hrs≥1hr: 56%

    Explore, fight, and survive as an awakened sleeper, in a fallen utopian city ravaged by a horrific disease. With an array of hi-tech weapons, highly immersive UI, full-body awareness, and much more, P.A.M.E.L.A. delivers an intense and unforgiving survival experience.

    Why similar: Survival 38.7%, Open World 21.1%, Zombies 18.2%, Exploration 12.5%, Action 6.3%

  47. #47 Project Silverfish
    66% matchVery Positive94% of 2,854 reviews2025
    Dev: Siris Pendrake
    Windows
    Median: 11.0 hrsMean: 21.9 hrs≥1hr: 88%

    Explore a hostile, living world: Uncover forgotten horrors, both man-made and supernatural, as you hunt for powerful weapons and exotic artifacts.

    Why similar: Sandbox 34.3%, Action-Adventure 20.6%, Exploration 18.2%, Open World 17.9%, Action 5%

  48. #48 Serum: Toxic Survival
    69% matchMixed52% of 294 reviews2024
    Dev: Game IslandPub: Toplitz Productions
    Windows

    Dive into a thrilling survival adventure where an unknown liquid takes control of your life. Extract Serum to stay alive, battle dangerous creatures, solve puzzles, and uncover clues about past events.

    Why similar: Zombies 39.1%, Action-Adventure 18.2%, Open World 14.9%, RPG 14.3%, Exploration 13.4%

  49. #49 Sancticide
    67% matchMixed65% of 124 reviews2026
    Dev: Red Square GamesPub: Sylen Studio
    Windows

    Sancticide is an Indie melee-focused TPP action RPG game set in the world of the biblical Apocalypse. Become Ezechiel, sin collector in the service of Them at The Top, as he ventures through what is left of our world during the End Times.

    Why similar: Action RPG 27%, Zombies 25.2%, Violent 22.4%, RPG 16%, Action 5.5%

  50. #50 Project L33T: Prologue
    69% matchMixed54% of 586 reviews2024
    Dev: Holmgard Games
    Windows

    Dive into Project L33T, a hardcore first-person tactical extraction shooter. Confront AI foes and rival players, engage in high-stakes battles for precious loot, and risk it all in this hostile environment. Die and lose all of your gear and loot.

    Why similar: Sandbox 37.9%, Realistic 31.1%, RPG 23%, Action 8%

  51. #51 Lifeless
    72% matchMostly Negative38% of 552 reviews2016
    Dev: Desync Donkeys
    Windows

    Immerse yourself in the post-apocalyptic co-op world of Lifeless, where base building and crafting are key. Collect weapons, gear, and food as you embark on thrilling missions to level up in a vast open world. But stay alert—relentless zombies lurk around every corner!

    Why similar: Zombies 36.5%, Survival 21.5%, Violent 17.9%, Gore 11.5%, Open World 6.8%

  52. #52 DREADZONE
    67% matchMixed51% of 1,171 reviews2025
    Dev: Eshed
    Windows

    Dreadzone is a survival game set in a deadly quarantine zone. Scavenge for resources, craft tools, build shelter, and survive against dangerous animals, zombies, mutants, and other survivors. Explore the zone where desperation drives everyone to do whatever it takes to survive.

    Why similar: Zombies 25.2%, Survival 23.1%, Open World 14.7%, Realistic 12.1%, Action-Adventure 9.9%

  53. #53 Atomic Exile
    67% matchVery Positive82% of 109 reviews2025
    Dev: Inferno Muse Interactive
    Windows

    Atomic Exile is a top down post-apocalyptic extraction shooter set in the desert wastelands of near future America. You will visit enclaves, explore devastated ruins and encounter NPCs such as other survivors, raiders, mutated beasts and rogue machines.

    Why similar: Gun Customization 44.7%, Survival 23%, Open World 11.8%, Top-Down 7.3%, Exploration 6.7%

  54. #54 30 days to survive
    68% matchMostly Positive72% of 115 reviews2021
    Dev: HeXPub: Laush Studio
    Windows

    "30 days to survive" - the game is going day, in a world where there is a zombie Apocalypse! The protagonist has to survive 30 days on a randomly generated map full of dead.

    Why similar: Zombies 22.4%, Survival 16.1%, Violent 13.8%, Tactical 13.1%, Realistic 11.5%

  55. #55 DESOLATE
    68% matchMixed67% of 8,009 reviews2019
    Dev: NeargaPub: HypeTrain Digital
    Windows
    Median: 3.6 hrsMean: 10.5 hrs≥1hr: 89%

    DESOLATE is a first person horror survival experience. Form a research team with up to 4 players and explore an open world filled with mysteries and unsolved questions, or do it all on your own.

    Why similar: Survival 34.2%, Zombies 28.8%, Open World 20.3%, Gore 9.5%, Action 3.1%

  56. #56 LifeZ - Survival
    69% matchMixed68% of 240 reviews2018
    Dev: iDs Games
    Windows · Linux
    Median: 2.7 hrsMean: 4.5 hrs≥1hr: 90%

    LifeZ - Survival is a third-person sandbox-survival game. Build your hideout, search for water and food, mine resources and fight against zombies and finally find ways to contact the outside world and leave Catastrophie Area.

    Why similar: Zombies 30.2%, Survival 22.8%, Sandbox 13%, RPG 10%, Open World 6.3%

  57. #57 Project Zomboid
    66% matchVery Positive94% of 440,877 reviews2013
    Dev: The Indie Stone
    Windows · Mac · Linux
    Median: 14.8 hrsMean: 82.3 hrs≥1hr: 92%

    Project Zomboid is the ultimate in zombie survival. Alone or in MP: you loot, build, craft, fight, farm and fish in a struggle to survive. A hardcore RPG skillset, a vast map, massively customisable sandbox and a cute tutorial raccoon await the unwary. So how will you die? All it takes is a bite..

    Why similar: Zombies 28.8%, Survival 25%, Sandbox 13.1%, Open World 11.2%, Isometric 10.2%

Pathogenesis: Overcome cover art

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