Games Like Pathologic 3

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

Why You'll Like It: This is the direct predecessor that shares the same intense survival, medical management, and oppressive atmosphere.

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: Psychological Horror 18.6%, Horror 12.1%, Story Rich 12%, Survival 10.8%, Atmospheric 10.6%

Why You'll Like It: The original cult classic that established the unique, surreal, and punishing world of the series.

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 25.5%, Psychological Horror 22.5%, Horror 19.3%, Lovecraftian 19.1%, RPG 8.2%

Why You'll Like It: A brutal, high-stakes survival RPG that forces players to make agonizing choices in a dark, unforgiving world.

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: Psychological Horror 18.6%, Survival Horror 16.5%, Horror 15.3%, Choices Matter 9.5%, Survival 9.2%

Why You'll Like It: An incredibly atmospheric top-down survival horror game that emphasizes resource scarcity and psychological dread.

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 20.3%, Psychological 18.7%, Horror 12.4%, Survival 8.7%, Difficult 8.5%

Why You'll Like It: Created by the same developers, this game features a similarly surreal, oppressive, and resource-management-heavy experience.

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: Psychological Horror 26.5%, Survival Horror 25.3%, Lovecraftian 20.8%, Dystopian 17%, Atmospheric 8.2%

Why You'll Like It: A masterclass in psychological horror that uses atmospheric storytelling and resource management to create a haunting experience.

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 21.8%, Horror 18.3%, Story Rich 16.2%, Open World 15.3%, RPG 15%

Why You'll Like It: Features a medical professional protagonist forced to make difficult moral choices regarding life and death during a plague.

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: Psychological Horror 17.2%, Detective 17.1%, Horror 16.3%, Surreal 13.4%, Dystopian 12.6%

Why You'll Like It: An atmospheric, investigative horror game that delves deep into psychological trauma and surreal environments.

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: Lovecraftian 20.9%, Horror 18.8%, Psychological Horror 18.6%, Survival Horror 16.2%, Difficult 7.7%

Why You'll Like It: A surreal, cosmic horror game that captures the same sense of impending doom and psychological instability.

SAIL THE STARS. BETRAY YOUR QUEEN. MURDER A SUN. Sunless Skies is a Gothic Horror roleplay game with a focus on exploration and exquisite storytelling.

Why similar: Lovecraftian 41.8%, Story Rich 13.1%, Survival 12%, RPG 10.8%, Choices Matter 9.3%

Why You'll Like It: A narrative-heavy survival game that excels at building a strange, atmospheric, and lore-rich world.

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 51%, Choices Matter 17.4%, Difficult 11.4%, Atmospheric 10.2%, Simulation 10%

Why You'll Like It: A society-survival game that forces players to make ruthless, high-stakes decisions to keep a population alive under extreme conditions.

Seize forbidden treasures. Summon alien gods. Feed on your disciples. Cultist Simulator is a game of apocalypse and yearning. Play as a seeker after unholy mysteries, in a 1920s-themed setting of hidden gods and secret histories.

Why similar: Lovecraftian 28.3%, Psychological Horror 23.8%, Choices Matter 12.2%, Difficult 10.8%, Story Rich 9.6%

Why You'll Like It: A complex, lore-rich management game that requires careful planning and sacrifice to survive in a dark, occult world.

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 41.6%, Story Rich 20.4%, RPG 16.5%, Atmospheric 14.6%, Adventure 6.9%

Why You'll Like It: Focuses on survival and narrative-driven decision-making within a bleak, oppressive, and decaying environment.

YOU are a psychiatrist, trying to solve a murder whilst treating the unusual patients of the recently deceased Doctor Dekker. Type a question - patients reply in full screen video and have questions for you too but be careful what you say. Your words determine their eventual fates, and your own!

Why similar: Lovecraftian 19.7%, Detective 15.5%, Psychological Horror 15.2%, Psychological 15%, Horror 10.1%

Why You'll Like It: A medical-themed mystery game that relies on investigation and dialogue to uncover dark, hidden truths.

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: Lovecraftian 16.7%, Psychological Horror 14.4%, Survival Horror 13.2%, Horror 10.9%, Choices Matter 9.6%

Why You'll Like It: A lovecraftian survival horror game that emphasizes choices and the psychological toll of a dying world.

Saint Kotar is a psychological horror detective game set in a cursed valley in rural Croatia. Investigate the disappearance of your relative in the occult-ridden town of Sveti Kotar as you switch between conflicting realities through the eyes of two godly men.

Why similar: Lovecraftian 17.3%, Detective 16.5%, Psychological Horror 16.4%, Psychological 14%, Horror 11.9%

Why You'll Like It: A dark, choice-driven mystery game that explores themes of psychological horror and religious fanaticism.

Lovecraftian Doctor Simulator. Diagnose patients by analyzing unsettling symptoms and treat them using your Book of Medicine. Make moral choices — decide who to save or kill, discover whom to trust, and unlock multiple endings! Can you endure 30 days of perilous decisions?

Why similar: Lovecraftian 33.7%, Psychological Horror 21.5%, Choices Matter 14.6%, Story Rich 11.5%, First-Person 7.8%

Why You'll Like It: A medical-themed psychological horror game that forces players to manage high-stakes situations under pressure.

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: Lovecraftian 24.5%, Horror 17.3%, Psychological Horror 13.9%, Survival Horror 13%, Story Rich 10.1%

Why You'll Like It: A first-person survival horror game that focuses on maintaining sanity while navigating a hostile, surreal landscape.

You will answer a series of questions that will reveal your potential fate. These questions may make you uncomfortable, but with great knowledge comes great sacrifice. Can you make it all the way through The Horrorscope, and if you do, are you sure you want the answers you seek?

Why similar: Psychological Horror 18.4%, Psychological 15.8%, Survival Horror 9.6%, Horror 8.8%, Immersive Sim 7.6%

Why You'll Like It: A psychological horror simulation that focuses on atmospheric storytelling and unsettling, surreal events.

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 46.7%, Simulation 17%, Story Rich 12.5%, Atmospheric 8.8%, Difficult 7.8%

Why You'll Like It: A high-stakes management game where every decision is a moral dilemma that impacts the lives of others.

Mirror Forge is a first-person psychological survival horror game. Roam between realities of fear, madness & machinery. Solve puzzles, explore an atmospheric world, survive horrifying entities.

Why similar: Psychological Horror 18.8%, Psychological 14.9%, Survival Horror 14.7%, Horror 13.2%, Surreal 8.8%

Why You'll Like It: A psychological survival horror game that blends exploration with intense, reality-bending scares.

The Cat Lady follows Susan Ashworth, a lonely 40-year old on the verge of suicide. She has no family, no friends and no hope for a better future. One day she discovers that five strangers will come along and change everything...

Why similar: Psychological Horror 21.5%, Horror 20.5%, Psychological 14.6%, Detective 12.1%, Surreal 11.3%

Why You'll Like It: A dark, psychological narrative game that deals with heavy themes of depression, trauma, and survival.

NORCO is a dialogue-focused point & click adventure that immerses the player in the sinking suburbs and industrial swamplands of an increasingly surreal and distorted South Louisiana.

Why similar: Dystopian 34.2%, Surreal 22.8%, Story Rich 15%, Atmospheric 12.8%, First-Person 10.3%

Why You'll Like It: A surreal, atmospheric point-and-click adventure that features deep, philosophical storytelling in a decaying world.

In Rise of Insanity, as a doctor of psychology you will explore the darkest recesses of the human mind. Overcome your fear to find the truth behind the tragedy that has befallen your family.

Why similar: Psychological Horror 23.4%, Horror 20.3%, Survival Horror 15.1%, Surreal 12.3%, Simulation 7%

Why You'll Like It: A psychological horror simulation that delves into the fractured mind of its protagonist through atmospheric exploration.

Inscryption is an inky black card-based odyssey that blends the deckbuilding roguelike, escape-room style puzzles, and psychological horror into a blood-laced smoothie. Darker still are the secrets inscrybed upon the cards...

Why similar: Horror 28.3%, Psychological 27.2%, Surreal 18.8%, Story Rich 16.6%, First-Person 7%

Why You'll Like It: A meta-narrative horror game that uses card-based mechanics to create an unsettling and mysterious atmosphere.

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: Lovecraftian 28.1%, Psychological Horror 16.1%, Detective 14.5%, Horror 14.2%, Story Rich 5.9%

Why You'll Like It: An investigation-focused horror game that emphasizes the fragility of the human mind when faced with cosmic truths.

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 37.2%, Horror 17.8%, Psychological 14.8%, Story Rich 11.8%, Surreal 9.4%

Why You'll Like It: A psychological horror game that explores the thin line between reality and hallucination in a dark, surreal world.

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: Lovecraftian 15.1%, Psychological 14.7%, Psychological Horror 13.5%, Dystopian 10.5%, Horror 10.3%

You are wetware, working a mysterious job.

Why similar: Psychological Horror 17.2%, Psychological 13.7%, Surreal 12.8%, Horror 12.2%, Dystopian 10.7%

As the lights go out, the embers of darkness are stoked in the sleepy town of Dormont. Confront uncomfortable horrors, keep your sanity in check and survive the night in this story-driven first-person psychological-thriller.

Why similar: Psychological Horror 16.1%, Survival Horror 13.8%, Horror 12.4%, Surreal 12.3%, Psychological 11.7%

Why You'll Like It: A psychological horror game that focuses on exploration and the consequences of moral choices in a dark, abandoned town.

Pilot the MOLE, a monstrous post-war drilling machine built to descend deep below the Slavic soil. Fix failing systems, follow voices of the dead, and pray you can survive whatever is sharing your coffin. Will the vessel or your mind break first?

Why similar: Psychological Horror 24.6%, Horror 19.1%, Dystopian 17.1%, Surreal 12%, Simulation 7.9%

Descend into Lovecraftian horror aboard a claustrophobic military submarine. Assign tasks as a captain’s right hand, analyze sonar signals, make hard decisions, and keep the crew from madness. Dark horrors lurk both within… and beyond the hull.

Why similar: Psychological Horror 19.9%, Lovecraftian 18.8%, Horror 14.3%, Surreal 10.3%, Choices Matter 8%

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 45.6%, Atmospheric 24.4%, Story Rich 16.6%, Adventure 13.4%

Why You'll Like It: A surreal, atmospheric narrative experience that captures a sense of existential dread and magical realism.

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: Psychological Horror 24.4%, Horror 19.7%, Psychological 17.3%, Choices Matter 12.9%, Story Rich 8.7%

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: Horror 42%, RPG 37.7%, Adventure 20.3%

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: RPG 27%, Choices Matter 25.1%, Simulation 15.8%, Story Rich 14.2%, Atmospheric 9.5%

In a lonely station atop a mountain, a train rumbles its precious cargo to places unknown. Now is your shift. Keep the pace. Uncover a mystery. Fight for your last breath. The air is thin up here.

Why similar: Psychological Horror 22.8%, Horror 17.6%, Surreal 15%, Survival Horror 10.7%, Choices Matter 10.6%

The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together. Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies. But tread carefully: one wrong move could expose you as an impostor.

Why similar: Detective 28.4%, Psychological 25.7%, Choices Matter 14.4%, Story Rich 10.8%, Atmospheric 9%

A young Plague Doctor, only to learn that the Academy sent to a small village, which, like the whole country is gripped by plague

Why similar: Horror 26.6%, Dystopian 23.7%, Survival 16.2%, Choices Matter 14%, Open World 12.4%

A thrilling psychological horror game. Your job is to look for anomalies in a haunted house. If you see anyhting suspicious (furniture moving, extra objects, intruders), take a photo and send a report. Includes both VR- (windows only) and non-VR (windows, mac, linux)-versions.

Why similar: Psychological Horror 17.4%, Psychological 17.3%, Survival Horror 15%, Lovecraftian 14.1%, Horror 12.6%

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 35%, Choices Matter 19.5%, Story Rich 13.3%, Atmospheric 10.8%, Simulation 9.3%

You are the lifeline supporting an expedition into the unknown. Keep both yourself and your squad alive by interpreting instrument readings, explore the facilities, and uncover something ancient and eager to be born.

Why similar: Lovecraftian 20%, Psychological Horror 18.4%, Psychological 17.5%, Horror 13.6%, Choices Matter 9.6%

Chorus of Carcosa is a first-person psychological horror game about an anxious sculptor who is trapped in a dark and ever-changing building. Stay silent, survive its twisted labyrinths and escape the monsters. Just don’t lose your way in the shadows or within your own mind.

Why similar: Psychological Horror 19.4%, Lovecraftian 14.2%, Surreal 14.1%, Horror 13.6%, Survival Horror 12%

The plague spreads agony and fear in the small town of Wippra. As a plague doctor, you bring healing and relief wherever you can. But ignorance, superstition, and religious zeal make for a deadly threat in this retro medieval medical adventure!

Why similar: Story Rich 48.5%, Atmospheric 41.8%, Adventure 9.7%

Sector 404 is a first-person anomaly horror game set in a crumbling Soviet housing block. After taking your medicine, your world begins to fracture. Climb from floor to floor, uncovering distorted anomalies and your own unraveling mind. Miss too much, and reality resets. Will you ever make it home?

Why similar: Psychological Horror 24.9%, Psychological 17.6%, Horror 16.7%, Immersive Sim 10.7%, Choices Matter 9.7%

A 3rd person, fixed-camera survival horror adventure. Fear the Presence, a mysterious entity you cannot fight: stay alert, hide, breathe slowly... Explore cursed places where unseen spirits and lost souls linger in a true horror story for the ages.

Why similar: Lovecraftian 17.2%, Psychological 16.3%, Psychological Horror 16.2%, Survival Horror 12.7%, Horror 12.3%

Confronted with fragmented narratives and deceptive persons of interest, you must isolate crucial evidence. Shatter logical loopholes from testimonies and reconstruct the crime scene from subtle clues. Can you survive this immersive battle of wits?

Why similar: Detective 26%, Psychological Horror 22.9%, Immersive Sim 16.9%, Story Rich 9.7%, First-Person 7.3%

Surrounded by enemies and assaulted by terror from all sides, Philip must collect clues and solve vexing puzzles while combating the gnawing psychological terrors that assail his mind and threaten to strip him of his sanity.

Why similar: Horror 25.6%, Psychological Horror 21.2%, Lovecraftian 12.4%, Survival Horror 11.3%, First-Person 8.3%

A dystopian simulator where your choices shape a decaying city. Join other players to protect the metropolis from ruin, hasten its downfall, or simply work in the factories. With no set goals or rules, every action has consequences in a world teetering on the brink.

Why similar: Dystopian 21.4%, Psychological Horror 21.3%, Surreal 16.5%, Immersive Sim 14.4%, Survival 8.4%

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: Surreal 21.1%, RPG 20.6%, Story Rich 17.6%, Dystopian 15.4%, Choices Matter 15.2%

A psychological horror game with a chapter-based plot, thriller and unusual elements! You are a novice paranormal detective, exploring secrets and finding ways to escape in an infinite loop of scenes. Many unusual things happen during this process, as if some strange force wants to devour you...

Why similar: Psychological Horror 36.9%, Horror 23.3%, Immersive Sim 21.2%, First-Person 13.5%, Adventure 5.1%

Investigate a paranormal disease that threatens to eradicate humanity in this unsettling Lovecraftian adventure, inspired by the choose-your-own-adventure gamebooks of the 80s and 90s. Your choices will determine the story, your character’s destiny… and the future of humanity.

Why similar: Lovecraftian 58.9%, Choices Matter 20.2%, Story Rich 14.9%, Adventure 6%

An orphan returns to the house of the deceased fortune-teller to uncover the secret of his family's death. He must accept his legacy and become a prognostic before supernatural madness engulfs people of his town.

Why similar: Horror 21.2%, Psychological Horror 14%, Immersive Sim 13.8%, Story Rich 11.5%, First-Person 10%

When a high-ranking security officer saves you from prison, you end up a pawn in her schemes. Now you must eliminate anyone standing in the way of her secret plans and try to get your life back while working two jobs. No tenant, employee or superior is safe from your spying.

Why similar: Dystopian 44.7%, Atmospheric 13.5%, Simulation 13.3%, Choices Matter 12.8%, Story Rich 12.8%

Take on night shifts at a remote motel, handle unsettling guests, and navigate eerie events. Experience Emma’s unnerving apartment life, feel the unease of being watched, and question what’s real as the line between reality and nightmare blurs.

Why similar: Psychological Horror 23%, Horror 15.5%, Psychological 12.6%, Story Rich 8.9%, Immersive Sim 8.4%

First-person psychological horror about ignorance and attempts. Protect yourself as a lone carpenter, hastily look for materials in your house to board up a door that shouldn’t exist. At any cost.

Why similar: Psychological Horror 26.7%, Psychological 24.7%, Horror 15.4%, Surreal 15.1%, Atmospheric 8%

You only have 21 days until this living city dies. The clock is ticking. You can’t be everywhere at once. Decide what to explore, who to meet and see every decision shape the curious stories and terrible secrets of this branching narrative game.

Why similar: Lovecraftian 40.2%, Choices Matter 21%, Story Rich 14%, Adventure 9.9%, Atmospheric 9.2%

You are a veteran, in a post World War 3 apocalyptic world. Starving and alone, you fight to keep your sanity in the hell that this world has decayed into. In a desperate attempt to find food, you stumble your way into an abandoned prison, but you find out it is not as abandoned as you believed...

Why similar: Psychological Horror 17.9%, Survival Horror 16%, Horror 14.4%, Psychological 13%, Dystopian 8.8%

In a remote provincial town, teenagers mysteriously disappear every 25 years. You're a high school student about to turn 18... But what if you become the next victim?

Why similar: Psychological Horror 26%, Psychological 23.8%, Horror 18.5%, Atmospheric 8.6%, Story Rich 8.4%