Games Like Pathologic 2

Pathologic Classic HD is the Definitive Edition of the original Cult Classic Psychological First-Person Survival game. In this unforgettable experience, players control one of three unique characters as they try to save a mysterious town from a deadly plague that cannot be stopped.

Why similar: Survival 13.6%, Story Rich 13%, Atmospheric 11.7%, Psychological Horror 11.1%, Difficult 10.1%

Why You'll Like It: The original cult classic that established the series' unique blend of survival, theater, and philosophical despair.

Darkwood - a new perspective on survival horror. Scavenge and explore a rich, ever-changing free-roam world by day, then hunker down in your hideout and pray for the morning light.

Why similar: Survival Horror 15.4%, Survival 12.6%, Choices Matter 12.3%, Psychological Horror 12.1%, Open World 10%

Why You'll Like It: A top-down survival horror game that captures the same sense of isolation, dread, and resource scarcity as Pathologic 2.

F&H 2: Termina is oppressive, relentless and hopeless. A mix of jRPG and Survival Horror. Turn-based combat meets resource management. 3 days to explore the wicked town of Prehevil and find out about its dark secrets. 3 days until the pale and sickly green moon rises at its apex. Termina is upon us!

Why similar: Survival Horror 36.8%, Psychological Horror 22.6%, CRPG 16.3%, RPG 14.5%, Atmospheric 9.8%

Why You'll Like It: An unforgiving, dark RPG that demands careful resource management and forces players to make brutal choices in a hostile environment.

Disco Elysium - The Final Cut is a groundbreaking role playing game. You’re a detective with a unique skill system at your disposal and a whole city to carve your path across. Interrogate unforgettable characters, crack murders or take bribes. Become a hero or an absolute disaster of a human being.

Why similar: Detective 20.9%, Choices Matter 15.3%, Story Rich 11.7%, CRPG 11.3%, RPG 9.3%

Why You'll Like It: Offers an unparalleled depth of narrative and philosophical inquiry, mirroring the complex character interactions found in Pathologic 2.

Amnesia: The Bunker is a first-person horror game set in a WW1 bunker. A relentless, AI-driven monster stalks you. Survival depends on finding tools, crafting items, and keeping the lights on.

Why similar: Survival Horror 16%, Difficult 15.5%, Immersive Sim 14.7%, Survival 12.2%, Psychological Horror 11%

Why You'll Like It: A masterclass in immersive sim survival, where every resource is precious and the environment is constantly working against you.

Only brought to life by scarce sparks of Color, the bleak, grey Void is a peculiar place. The player gets to explore it, get to know the Sisters, Brothers, and other weird creatures inhabiting it, and learn the ways of Color, harvesting it and drawing sigils that change the world around them.

Why similar: Surreal 22.9%, Difficult 16.1%, Survival 12.9%, Story Rich 10.5%, Dark 9.7%

Why You'll Like It: Another title from Ice-Pick Lodge that explores surreal, abstract survival mechanics and deep, thematic storytelling.

Fear & Hunger is a horror dungeon crawler set in the dark and hopeless dungeons of fear and hunger. The game is a hybrid of survival horror and dungeon crawler genres with its influences ranging from Silent Hill to Nethack. There are roguelike elements to the game as well as a heavy foundation of a j-RPG.

Why similar: Difficult 27.4%, Psychological Horror 23.4%, RPG 16.8%, Dark 13.3%, Atmospheric 7.9%

Why You'll Like It: A notoriously difficult and dark RPG that tests the player's resolve through extreme consequences and grim world-building.

From the creators of Amnesia: The Dark Descent comes SOMA, a sci-fi horror game set below the waves of the Atlantic ocean. Struggle to survive a hostile world that will make you question your very existence.

Why similar: Survival Horror 22.2%, Psychological Horror 19.9%, Story Rich 14%, Dark 13.9%, Atmospheric 12.6%

Why You'll Like It: Delivers a profound sense of existential dread and psychological horror that resonates with the themes of mortality in Pathologic 2.

Experience the quiet terror of this 1-bit love letter to Junji Ito and H.P. Lovecraft. Navigate a hellish roguelite reality with turn-based combat and unforgiving choices. Experiment with your deck of event cards to discover new forms of cosmic horror in every playthrough. The inevitable awaits...

Why similar: Survival Horror 23.9%, Difficult 21.4%, Psychological Horror 19%, Survival 14.1%, RPG 9%

Why You'll Like It: A cosmic horror game that emphasizes survival against overwhelming odds and the slow decay of sanity.

LOSE YOUR MIND. EAT YOUR CREW. DIE. Take the helm of your steamship and set sail for the unknown! Sunless Sea is a game of discovery, loneliness and frequent death, set in the award-winning Victorian Gothic universe of Fallen London.

Why similar: Survival 25.1%, Story Rich 17.7%, Dark 15.6%, Atmospheric 12.3%, RPG 10.3%

Why You'll Like It: Combines bleak, Lovecraftian exploration with intense resource management and narrative-heavy decision-making.

Delve into a role-playing game of horror, loss and madness set in the strange worlds of HP Lovecraft. Stygian: Reign of the Old Ones offers a mix of rich role-playing and turn-based tactical combat, represented in an illustrative visual style. Can you find salvation in a dead world?

Why similar: RPG 29.2%, CRPG 15.4%, Choices Matter 13.7%, Atmospheric 11.8%, Story Rich 10.8%

Why You'll Like It: A turn-based RPG that captures the hopelessness and dark atmosphere of Lovecraftian horror.

A classic survival horror experience set in a dystopian future where humanity has uncovered a dark secret. Unravel a cosmic mystery, escape terrifying creatures, and scavenge an off-world government facility as Elster, a technician Replika searching for her lost dreams.

Why similar: Survival Horror 28.9%, Dystopian 22%, Psychological Horror 21.2%, Atmospheric 12.1%, Dark 11.2%

Why You'll Like It: A psychological survival horror game that uses surreal imagery and a cryptic narrative to evoke a deep sense of unease.

Chernobylite is a science-fiction survival horror RPG. Set in the hyper-realistic, 3D-scanned wasteland of Chernobyl’s Exclusion Zone, explore a non-linear storyline in your search to uncover the truth of your tortured past.

Why similar: Survival 26.9%, Survival Horror 24.8%, Atmospheric 14.6%, RPG 13.2%, First-Person 9.9%

Why You'll Like It: Blends survival, base-building, and RPG elements within a haunting, post-apocalyptic setting.

Frostpunk is the first society survival game. As the ruler of the last city on Earth, it is your duty to manage both its citizens and infrastructure. What decisions will you make to ensure your society's survival? What will you do when pushed to breaking point? Who will you become in the process?

Why similar: Survival 49.9%, Choices Matter 16.2%, Difficult 14.3%, Atmospheric 8.7%, Dark 8%

Why You'll Like It: A city-builder that forces players to make impossible moral decisions while managing limited resources in a dying world.

A free-roaming squad based RPG. Focusing on open-ended sandbox gameplay features rather than a linear story. Be a trader, a thief, a rebel, a warlord, an adventurer, a farmer, a slave, or just food for the cannibals. Train your men up from puny victims to master warriors.

Why similar: Open World 37.2%, Survival 34.9%, RPG 19.8%, Singleplayer 3.1%, Adventure 2.9%

Why You'll Like It: A brutal, open-ended survival sandbox where the world is indifferent to your existence and every victory is hard-earned.

Dread Delusion is an open world RPG brimming with strange places and dark perils. Carve your own path through the flying continents of a shattered land. Discover curious towns, unearth occult secrets, master powerful magic - and change the world through your choices.

Why similar: Open World 30.3%, RPG 23.3%, Story Rich 23.2%, First-Person 15.6%, Adventure 7.6%

Why You'll Like It: An open-world RPG that features a surreal, decaying world and emphasizes exploration and moral ambiguity.

1924. Private Investigator Pierce is sent to look into the tragic death of the Hawkins family. Plunge into a world of creeping madness and cosmic horror. Cryptic clues, shadowy figures, and pure terror bar your way as you fight to retain your sanity and solve an otherworldly mystery.

Why similar: Detective 28%, Psychological Horror 17.1%, Story Rich 11.5%, Atmospheric 10.2%, Choices Matter 6.8%

Why You'll Like It: A detective-focused horror game that emphasizes the fragility of the human mind when confronted with the unknown.

London, 1918. You are newly-turned Vampyr Dr. Jonathan Reid. As a doctor, you must find a cure to save the city’s flu-ravaged citizens. As a Vampyr, you are cursed to feed on those you vowed to heal.

Why similar: Choices Matter 24.9%, Open World 18%, Story Rich 16.7%, RPG 15.1%, Atmospheric 11%

Why You'll Like It: Centers on the moral dilemma of a doctor in a disease-ridden city, forcing players to choose between their humanity and their survival.

A first‑person cyberpunk horror detective story set in a decaying, neon‑scarred future. As an Observer who invades minds to hunt for clues, you will sift through corrupted memories to track down a mysterious killer and confront your own dark past.

Why similar: Detective 23.9%, Surreal 16.8%, Dystopian 15.6%, Psychological Horror 13.2%, Choices Matter 12.3%

Why You'll Like It: A psychological horror game that explores themes of transhumanism and decay within a claustrophobic, atmospheric setting.

A narrative-driven hardcore RPG set in a gritty world ruled by real but unrelenting gods. Set out on a challenging lifetime journey, where every choice has a price and entails consequences. Will you become an inquisitor, a judge, or conspire against the old order? Dare to decide!

Why similar: Choices Matter 45.8%, Story Rich 22.2%, RPG 16.4%, Atmospheric 8%, Adventure 3%

Why You'll Like It: A narrative RPG where every choice shapes the protagonist's life and the fate of a rigid, unforgiving society.

Roleplaying in the ruins of interplanetary capitalism. Live the life of an escaped worker, washed-up on a lawless station at the edge of an interstellar society. Inspired by the flexibility and freedom of TTRPGs, explore the station, choose your friends, escape your past and change your future.

Why similar: Dystopian 39.2%, Story Rich 20.7%, RPG 16.3%, Atmospheric 14.9%, Adventure 4.8%

Why You'll Like It: Focuses on the struggle for survival and identity through resource management and complex, narrative-driven choices.

You are an intern at the central ministry of a totalitarian state with your whole career ahead of you. Work your way up the ladder by scheming against employees, spying on your boss, and completing paperwork. Or do you turn against the state and expose corruption. The choice is still yours to make!

Why similar: Dystopian 30.8%, Choices Matter 21%, Story Rich 13.2%, Dark 12.1%, Atmospheric 10.8%

Why You'll Like It: A dystopian simulation that forces players to navigate a corrupt system, making difficult choices to survive.

Congratulations. The October labor lottery is complete. Your name was pulled. For immediate placement, report to the Ministry of Admission at Grestin Border Checkpoint. An apartment will be provided for you and your family in East Grestin. Expect a Class-8 dwelling.

Why similar: Dystopian 46.5%, Story Rich 14%, Difficult 13.2%, Atmospheric 10%, Indie 9.1%

Why You'll Like It: A dystopian simulation that forces players to balance personal survival against the moral weight of their professional duties.

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.

Why similar: Psychological Horror 11.2%, Detective 10.6%, Surreal 9.1%, Survival Horror 9.1%, Dystopian 9%

Hellpoint is an intense action RPG taking place on Irid Novo, a derelict space station soaked in an intoxicating dark sci fi atmosphere. Fight dreadful creatures, face the Cosmic Gods and unravel their twisted story. Should the challenge be too great, play with a friend in local or online coop.

Why similar: Difficult 19.8%, RPG 18.3%, Dark 17.3%, Psychological Horror 16.1%, Atmospheric 14.6%

Why You'll Like It: A dark, sci-fi souls-like that features an oppressive atmosphere and a world that feels genuinely alien and hostile.

Look Outside is a survival horror RPG set in a single apartment building. A mysterious event turns anyone who looks out the window into grotesque monsters, leaving the world in absolute chaos. Scavenge the building to seek food, supplies, and weapons while encountering strange characters.

Why similar: Survival Horror 40%, RPG 24.3%, Atmospheric 10.4%, Dark 10%, Isometric 6.8%

A norwegian happysad game set in a northern land! Adventure through a beautiful and very varied wilderness. Dive, fly, use ziplines and find different weapons to aid your journey to reach the cold mountains and below. Encounter over 50 unique bosses and enemy types!

Why similar: Atmospheric 49.9%, First-Person 26.5%, Adventure 13.4%, Singleplayer 10.2%

Why You'll Like It: A surreal and atmospheric adventure that captures a sense of isolation and wonder in a strange, dangerous land.

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: Survival 41.4%, Open World 22.9%, Survival Horror 14.3%, Isometric 9.5%, RPG 6.9%

Why You'll Like It: A deep and uncompromising survival simulation where the smallest mistake can lead to a permanent, tragic end.

UnderRail is an old-school turn-based isometric role-playing game that features a large open post-apocalyptic world, deep and challenging combat and an intricate storyline.

Why similar: CRPG 28.5%, Isometric 21.5%, RPG 20.3%, Difficult 9%, Open World 8.7%

Why You'll Like It: A hardcore, unforgiving RPG that rewards careful planning and resource management in a hostile, subterranean world.

Witch Hunt is a challenging horror themed hunting game that takes place in the 18th century. Main focus of the game is on exploration, non-linearity, and atmosphere.

Why similar: Survival Horror 22.3%, Survival 17%, Open World 13.1%, Difficult 12.4%, Psychological Horror 12.1%

Why You'll Like It: A slow-paced, atmospheric survival horror game that emphasizes preparation and patience in the face of supernatural threats.

Dive into a hostile world that challenges your very existence, in this survival horror game with RPG elements. Unravel a thousand-year-old mystery, risk your sanity and face the Outer Gods with your skills. Every bullet and every decision counts now, are you up to the task?

Why similar: Choices Matter 15.2%, Survival Horror 15%, Immersive Sim 11.6%, Psychological Horror 11.4%, Survival 11%

KENTUCKY ROUTE ZERO is a magical realist adventure game about a secret highway running through the caves beneath Kentucky, and the mysterious folks who travel it.

Why similar: Surreal 41.6%, Atmospheric 25.3%, Story Rich 17%, Adventure 9.6%, Indie 5.6%

Why You'll Like It: A narrative-heavy experience that uses surrealism and magical realism to explore themes of debt, loss, and the passage of time.

Discover the vast Chornobyl Exclusion Zone full of dangerous enemies, deadly anomalies and powerful artifacts. Unveil your own epic story as you make your way to the Heart of Chornobyl. Make your choices wisely, as they will determine your fate in the end.

Why similar: Open World 21.4%, Survival 21.3%, Atmospheric 11.9%, Immersive Sim 10.5%, Choices Matter 9.6%

From the independent studio that brought you Contrast, We Happy Few is an action/adventure game set in a drug-fuelled, retrofuturistic city in an alternative 1960s England. Hide, fight and conform your way out of this delusional, Joy-obsessed world.

Why similar: Dystopian 22.6%, Survival 15.6%, Open World 13.5%, Psychological Horror 11.9%, Survival Horror 8%

ATOM RPG: Trudograd is a turn-based post-apocalyptic roleplaying game, which continues the story of ATOM RPG as a stand-alone sequel/expansion, and follows the traditions set by classic cRPGs such as the early Fallout and Wasteland titles.

Why similar: CRPG 18.9%, Survival 12.7%, Immersive Sim 11.5%, Open World 10.3%, Isometric 9.3%

A first-person horror adventure. Uncover your past and survive the Algerian desert. Fear is your enemy; stay calm to not succumb to an illness threatening you and your loved one. Avoid darkness, hide from monsters and solve puzzles. Adventure Mode available for a less scary experience.

Why similar: Survival Horror 19.3%, Story Rich 18.9%, Atmospheric 14.8%, Psychological Horror 14.3%, First-Person 12.1%

WARNING. Stay inside. Lock your doors. Close the blinds. Only let humans in. Eliminate all Visitors. An anxiety horror about paranoia in the End of Times.

Why similar: Choices Matter 23.5%, Psychological Horror 22.1%, Story Rich 14.6%, Dark 12.8%, Atmospheric 12.3%

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 33.2%, Difficult 30.9%, Dark 16.1%, Atmospheric 12.4%, Adventure 4%

The miserable journey of a broken man...

Why similar: Choices Matter 20%, Psychological Horror 18.7%, Story Rich 14.3%, Dark 13.9%, RPG 11.7%

The Coma 2: Vicious Sisters is a Korean survival horror-adventure. Venture from your deserted school to survive the horrors of the night. Explore the surrounding Sehwa district and uncover the shadow realm's dark secrets. Use everything at your disposal to avoid a demoness hellbent on killing you!

Why similar: Survival Horror 32%, Survival 13.6%, Psychological Horror 11%, Story Rich 10.4%, Atmospheric 8.1%

The masked protagonist must escape the city ravaged by disease, by any means necessary. Use stealth to scavenge food, or kill everything in your path. Nurture your mental health or descend into madness. How you survive is up to you.

Why similar: Dystopian 19%, Survival Horror 18.5%, Choices Matter 15.5%, Immersive Sim 14.8%, Psychological Horror 13.5%

Plague: London 1665 is an RPG with pixel art graphics set in 1665's during the Bubonic Plague outbreak in overcrowded and polluted London. As a body collector, graveyard keeper, and family provider, avoid the disease while clearing the streets. Will you survive the outbreak or become another victim?

Why similar: Choices Matter 31.1%, RPG 29.5%, Story Rich 16%, Atmospheric 10.9%, Adventure 6.8%

Fran Bow is a creepy adventure game that tells the story of Fran, a young girl struggling with a mental disorder and an unfair destiny.

Why similar: Psychological Horror 34.1%, Story Rich 19.7%, Surreal 14%, Dark 13.2%, Atmospheric 9.2%

Paradise Island, a world outside reality. There’s been a murder that only "investigation freak" Lady Love Dies can solve. Gather evidence and interrogate suspects in this open world adventure. You can accuse anyone, but you’ll have to prove your case in trial. It’s up to you to decide who’s guilty.

Why similar: Detective 23%, Surreal 18.1%, Choices Matter 14.1%, Open World 11.4%, Story Rich 10.4%

Uncover secrets of past lives in this story-rich, tactical roleplaying game set in Sigil, a dark fantasy city at the heart of the Dungeons & Dragons multiverse. Explore the planes, survive combat alongside a party of bizarre companions, and solve puzzles unlike any ever seen in the genre.

Why similar: CRPG 26%, Choices Matter 17.5%, Isometric 15.6%, Story Rich 13.5%, RPG 12.7%

Play as special agent Francis York Morgan in this open-world action-adventure as you solve the case of the Red Seed Murders and survive in a small, quirky American mountain town where supernatural creatures and a mysterious raincoat-clad, axe-wielding killer seek to end his investigation for good.

Why similar: Detective 24.1%, Surreal 20.6%, Story Rich 19.1%, Open World 17.3%, Atmospheric 6.3%

“Black Book” is a dark RPG Adventure, based on Slavic myths, in which you play as a young sorceress. Fight evil forces in card-based battles and explore the world, where humans live alongside mythological creatures.

Why similar: Choices Matter 34.2%, Open World 23.6%, Story Rich 23.5%, RPG 18.8%

The Thaumaturge is a character-driven RPG with a rich story, morally ambiguous choices, and turn-based combat. In a city on the brink of change, use your mystical powers to read emotions, uncover motives, and command folklore-inspired demons — while resisting the temptation of your own pride.

Why similar: Detective 21.6%, CRPG 20.9%, Isometric 13.4%, Choices Matter 13.3%, Story Rich 10.1%

You’re a state-installed landlord in a totalitarian country. Place listening devices, steal and sneak into your tenants’ apartments. Use what you uncovered to report anyone capable of plotting against the state. You MUST! But WILL you?

Why similar: Dystopian 30.7%, Choices Matter 21.2%, Dark 13.3%, Story Rich 13%, Atmospheric 11.4%

Motherland (A sad fairytale for adults) is an indie-game that allows you to immerse in the atmosphere of a provincial town during the epidemic.

Why similar: Open World 20.1%, Psychological Horror 18.8%, Atmospheric 15.2%, Story Rich 13.6%, Dark 10.9%

Led by her new friend, Mr. Voice, Misfortune ventures into the woods, where mysteries are unraveled and a little bad luck unfolds.

Why similar: Psychological Horror 25.9%, Choices Matter 25.7%, Story Rich 18.6%, Dark 10.1%, Atmospheric 7.7%

Penumbra: Overture is a first person survival horror game, emphasizing on survival and problem solving instead of mindless violence and gore.

Why similar: Survival Horror 22.3%, Psychological Horror 17.2%, Atmospheric 11.4%, First-Person 10.1%, Dark 9.9%

Weird west legends meet eldritch horror in BLOOD WEST, an immersive stealth FPS. Become the Undead Gunslinger, doomed to roam the barren lands until he manages to purge their curse, freeing his soul. 3 varied scenarios, perk-based character progression, and 20+ hours of gameplay await you!

Why similar: Immersive Sim 20.3%, Survival Horror 17.7%, Open World 17.1%, Survival 13.5%, RPG 10.6%

Join Brian Pasternack on his first working day at Sintracorp. Uncertain, unprepared, and massively unqualified, will Pasternack have what it takes to shine in Sintracorp’s hierarchy? It all depends on how he performs on his first assignment… and whether he survives it.

Why similar: Psychological Horror 25.1%, Survival Horror 24.5%, Choices Matter 24.3%, Story Rich 18.3%, Adventure 4.6%

Stop a deadly plague in a medieval fantasy tale of swords and surgery! Unearth medical knowledge, prevent the town’s purge, or plot your own escape.

Why similar: RPG 54.6%, Adventure 21.5%, Indie 15.9%, Singleplayer 8%

An immersive power fantasy simulator with tactical stealth elements set in a sewage infused garbage world

Why similar: Surreal 30.3%, Immersive Sim 25.2%, Dystopian 19.8%, Psychological Horror 18.1%, First-Person 6.6%

Interpret the law as you see fit! Run the sheriff’s department, manage your cops, make tough decisions – and try to keep out of prison yourself – in this story-driven mixture of adventure, strategy, and turn-based tactical combat.

Why similar: Story Rich 32.4%, Choices Matter 25.5%, Detective 15%, Atmospheric 10.7%, Singleplayer 5.8%

One-Eyed Likho is a grim first-person horror adventure set in a world inspired by a dark, Slavic fairy tale. Explore an unsettling and twisted land set in 19th-century Russia in your endeavor to escape your own evil fate.

Why similar: Psychological Horror 32.1%, Atmospheric 25%, Story Rich 23%, Adventure 9.6%, Singleplayer 5.5%