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 13.5%, Story Rich 13%, Atmospheric 11.5%, Psychological Horror 11.1%, Difficult 10.3%

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 15.5%, Survival 12.6%, Choices Matter 12.1%, Psychological Horror 12.1%, Open World 10.1%

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 37.1%, Psychological Horror 22.5%, CRPG 16%, RPG 14.7%, 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 15.1%, Story Rich 11.8%, CRPG 11.4%, RPG 9.4%

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 15.7%, Immersive Sim 14.6%, 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 16.3%, Survival 12.8%, 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 27.5%, Psychological Horror 23.3%, RPG 16.8%, Dark 13.1%, Atmospheric 7.7%

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

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%, Story Rich 17.6%, Dark 15.5%, Atmospheric 12.2%, RPG 10.4%

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

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 21.6%, Psychological Horror 18.9%, Survival 14%, RPG 9%

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

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 22.4%, Psychological Horror 19.9%, Story Rich 14.1%, 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.

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 29.2%, Dystopian 21.9%, Psychological Horror 21.1%, Atmospheric 12%, Dark 11.1%

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.

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 29.4%, CRPG 15.6%, Choices Matter 13.7%, Atmospheric 11.6%, Story Rich 10.7%

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

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 50%, Choices Matter 16%, Difficult 14.6%, Atmospheric 8.7%, Dark 7.9%

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: Immersive Sim 32.2%, Survival 28.5%, Open World 23.4%, RPG 15.9%

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.

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 27%, Survival Horror 24.8%, Atmospheric 14.4%, RPG 13.4%, First-Person 9.9%

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

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 10.1%, 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.

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 30.6%, RPG 23.3%, Story Rich 23.1%, First-Person 15.5%, Adventure 7.6%

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

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 24.5%, Open World 18.2%, Story Rich 16.8%, RPG 15.2%, Atmospheric 10.9%

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 12.2%

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

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 38.1%, Story Rich 21.1%, RPG 16.6%, Atmospheric 15.2%, Adventure 5.1%

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 20.9%, Story Rich 13.3%, Dark 12.2%, Atmospheric 10.8%

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

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 45.6%, Story Rich 22.4%, RPG 16.7%, Atmospheric 7.8%, 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.

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 44.1%, Story Rich 13.3%, Difficult 12.6%, Atmospheric 9.5%, Indie 8.5%

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

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 20%, RPG 18.4%, Dark 17.3%, Psychological Horror 16.1%, Atmospheric 14.4%

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.

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 49.7%, First-Person 26.4%, Adventure 13.8%, Singleplayer 10.1%

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

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 11.1%, Detective 10.6%, Surreal 9.2%, Survival Horror 9.2%, Dystopian 8.9%

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 39.4%, RPG 26%, Atmospheric 10.2%, Dark 9.5%, Isometric 6.2%

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 28.2%, Isometric 21.2%, RPG 20.5%, Difficult 9.5%, Open World 8.8%

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 13.3%, Difficult 12.5%, Psychological Horror 12%

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

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 41.3%, Open World 23.2%, Survival Horror 14.3%, Isometric 9.4%, RPG 6.8%

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

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 22.6%, Story Rich 14.7%, Dark 12.8%, Atmospheric 12.2%

Enter the Chornobyl Anomalous Zone — a vast open world where anomalies, mutants, and rivals stand in your way. Explore, scavenge, and try to survive in this brutal and dangerous land. Evolving with every update, now overhauled and crowned with UPDATE 2.0.

Why similar: Open World 21.8%, Survival 21.4%, Atmospheric 11.7%, Immersive Sim 10.4%, Choices Matter 9.5%

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 25.1%, Story Rich 17%, Adventure 9.9%, Indie 5.5%

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.

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 22.7%, Survival 15.6%, Open World 13.7%, Psychological Horror 11.8%, Survival Horror 8%

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: Survival Horror 15.2%, Choices Matter 15%, Immersive Sim 11.6%, Psychological Horror 11.4%, Survival 11.1%

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%

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 32.3%, Survival 13.6%, Psychological Horror 10.9%, Story Rich 10.3%, Adventure 8.1%

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 22.4%, Psychological Horror 17.1%, Atmospheric 11.3%, First-Person 10.1%, Dark 9.9%

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 19.8%, Surreal 14%, Dark 13.2%, Atmospheric 9.1%

2D RPG about the brutal daily life of Ray - an artist struggling with addiction, who takes care of her little sister. Look after your condition - no one should know about the addiction. Improve your skills, sell paintings, do everything to ease the withdrawal. Survive and look for a way out.

Why similar: Detective 20.8%, Choices Matter 14.5%, Survival 13.5%, Surreal 11.1%, Story Rich 10.7%

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 38.9%, Open World 29%, First-Person 9.8%, Survival Horror 6.6%, Atmospheric 5.1%

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 18.7%, Choices Matter 15.3%, Immersive Sim 14.8%, Psychological Horror 13.5%

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 25.3%, Survival Horror 24.6%, Choices Matter 23.8%, Story Rich 18.4%, Adventure 4.7%

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 12.8%, Immersive Sim 11.4%, Open World 10.5%, Isometric 9.2%

“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 33.7%, Open World 23.8%, Story Rich 23.5%, RPG 19%

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 30.8%, RPG 29.8%, Story Rich 16.1%, Atmospheric 10.8%, Adventure 6.9%

Experience a Narrative Adventure where your choices and character growth truly matter. As a member of a 1793 secret society, live a tale of intrigue and manipulation on the hunt for your missing mother.

Why similar: Detective 30.3%, Choices Matter 28.8%, Story Rich 14.3%, RPG 13.8%, Adventure 5.9%

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 21.1%, Dark 13.3%, Story Rich 13.1%, Atmospheric 11.3%

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 22.9%, Surreal 18.2%, Choices Matter 13.9%, Open World 11.6%, Story Rich 10.4%

Vampire®: The Masquerade-Bloodlines™ delivers a new type of RPG experience-one that blends all the core elements of a traditional RPG with the graphical richness, immediacy and brutal combat of a first-person action game. The game plunges players into the dark and gritty vampire underworld of modern-day L.A. as a creature of the night.

Why similar: RPG 32.8%, Dark 15.9%, Story Rich 15.3%, Atmospheric 13.5%, Immersive Sim 10.1%

You are a nomadic slugcat, both predator and prey in a broken ecosystem. Grab your spear and brave the industrial wastes, hunting enough food to survive, but be wary— other, bigger creatures have the same plan... and slugcats look delicious.

Why similar: Difficult 32%, Survival 21.7%, Survival Horror 13.8%, Atmospheric 13.6%, Open World 11.6%

Lovecraft meets Papers, Please. Play as a lighthouse keeper and guide ships safely into the harbor using your radio. Survive the presence of something impossible, and don’t let the shadows consume you!

Why similar: Dystopian 17.1%, Choices Matter 15%, Survival Horror 14.3%, Psychological Horror 13.7%, Story Rich 10.3%

Tiny Bunny is a non-linear horror visual novel. Those, who have heard the voice of the forest, are beyond help.

Why similar: Psychological Horror 21.2%, Choices Matter 20.1%, Story Rich 19.1%, Dark 17.1%, Atmospheric 16.2%

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 20.3%, Psychological Horror 18.7%, Atmospheric 15.1%, Story Rich 13.6%, Dark 10.8%

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 26.1%, Choices Matter 25.4%, Story Rich 18.8%, Dark 10.1%, Atmospheric 7.6%

A surreal dice-based RPG in a cursed city of gut-wrenching suffering. Here, your choices shape your skills and your appearance. Survive the city's hellish trials, meet tortured characters, and develop your own unique identity. Every choice matters as your actions will literally shape you.

Why similar: RPG 16.1%, CRPG 15.8%, Surreal 15.1%, Story Rich 14.2%, Choices Matter 13.2%

No remarkable journey is achieved without great effort. In Outward, the cold of the night or an infected wound can be as dangerous as a predator lurking in the dark. Explore the vast world of Aurai solo or in Co-op. The Definitive Edition features both DLCs and quality of life improvements.

Why similar: Open World 28.9%, Survival 25%, RPG 22.6%, Difficult 13.3%, Atmospheric 5.2%

The five crew members of the Tulpar are stranded in the empty reaches of space, shrouded in perpetual sunset. God is not watching.

Why similar: Psychological Horror 27.6%, Surreal 19.8%, Story Rich 15.9%, Atmospheric 12.4%, Dark 11.6%