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: It serves as the direct thematic predecessor and spiritual companion, sharing the same agonizing time-management and plague-survival mechanics.

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 18.5%, Story Rich 12.1%, Horror 12%, Survival 10.8%, Atmospheric 10.5%

Why You'll Like It: The original masterwork that established the punishing town-saving time-loop and unrelenting disease mechanics.

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 18.5%, Survival Horror 16.5%, Horror 15.3%, Choices Matter 9.4%, Survival 9.2%

Why You'll Like It: Captures the same suffocating tension, hostile environments, and grim survival-horror desperation found in the seed game.

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 25.7%, Psychological Horror 22.4%, Horror 19.4%, Lovecraftian 19.2%, RPG 8.2%

Why You'll Like It: Features a similarly oppressive, time-sensitive doom where every harsh choice carries severe, unforgiving consequences.

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 8.6%

Why You'll Like It: Created by the same developers, this surreal survival game shares Pathologic's heavy emphasis on resource scarcity and existential dread.

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 14.3%, Survival Horror 13.3%, Horror 10.9%, Choices Matter 9.6%

Why You'll Like It: Presents a bleak, Lovecraftian survival-horror experience defined by crumbling sanity and desperate choices.

There is an unusual cabin deep in the woods. It had served as a laboratory and a dwelling for three generations of Lodgers.But as of late the latest Lodger has been noticing weird changes in familiar surroundings; things are missing, noises and rattle heard. Something odd is coming out of the woods.

Why similar: Psychological Horror 20.4%, Horror 19.4%, Surreal 18.9%, Difficult 12.1%, Story Rich 9.7%

Why You'll Like It: Another atmospheric masterpiece by Ice-Pick Lodge that forces you to survive the night while managing a decaying, sanity-bending reality.

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%, Horror 16.4%, Surreal 13.5%, Dystopian 12.5%

Why You'll Like It: Plunges you into a decaying, atmospheric cyberpunk dystopia centered around invasive investigation and psychological horror.

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 27.1%, Choices Matter 18%, Story Rich 15.3%, Surreal 12.6%, RPG 12.5%

Why You'll Like It: Matches Pathologic's deeply philosophical writing, psychological weight, and bleak exploration of broken societies.

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 23.7%, Choices Matter 12.2%, Difficult 10.9%, Story Rich 9.7%

Why You'll Like It: Employs an esoteric, highly demanding management loop driven by obscure lore, sacrifice, and psychological decay.

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: Psychological Horror 21.1%, Lovecraftian 19.4%, Horror 18%, Survival Horror 16.3%, Story Rich 8.2%

Why You'll Like It: Delivers an intensely psychological, dread-filled narrative that forces you to confront harrowing philosophical dilemmas.

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 8.2%

Why You'll Like It: A claustrophobic first-person horror game that prioritizes dark atmosphere, intellectual puzzle-solving, and psychological tension.

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 19.8%, Detective 15.5%, Psychological Horror 15.1%, Psychological 15%, Horror 10%

Why You'll Like It: Puts you directly in the shoes of a medical professional dealing with bizarre, mentally unstable patients in a dark atmosphere.

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 51.1%, Choices Matter 17.5%, Difficult 11.5%, Atmospheric 10.1%, Simulation 9.8%

Why You'll Like It: Focuses heavily on the same agonizing leadership burden and moral compromises required to save a population from extinction.

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: Lovecraftian 36%, Survival 14.5%, Horror 12.7%, Story Rich 11.9%, Atmospheric 8%

Why You'll Like It: Immerse yourself in a text-rich, oppressive world where fuel, food, and sanity management dictate your survival.

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 26.4%, Survival Horror 25.3%, Lovecraftian 20.8%, Dystopian 16.9%, Atmospheric 8.1%

Why You'll Like It: Weaves a deeply psychological, cryptic sci-fi horror narrative defined by resource management and bleak isolation.

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 16.3%, Psychological Horror 16.1%, Horror 14.1%, Immersive Sim 11.8%, Survival 8.5%

Why You'll Like It: Combines resource scarcity, a relentless ticking-clock threat, and terrifying survival mechanics in a confined space.

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 17.4%, Detective 16.4%, Psychological Horror 16.3%, Psychological 14%, Horror 11.9%

Why You'll Like It: A psychological horror detective game steeped in rural dread, dark mysteries, and morally grey 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 35%, Choices Matter 19.5%, Story Rich 13.4%, Atmospheric 10.8%, Simulation 9.2%

Why You'll Like It: Forces you to navigate a ruthless, oppressive bureaucratic system where every decision threatens survival.

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%

Why You'll Like It: A grim, first-person psychological horror experience focused on eerie isolation and unsettling environmental storytelling.

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 12.5%

Why You'll Like It: Demands hyper-vigilant scanning of environments to catch subtle, reality-bending anomalies before it is too late.

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 48.7%, Atmospheric 41.5%, Adventure 9.8%

Why You'll Like It: Explores the historical and medical burdens of treating patients during times of widespread pestilence and superstition.

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 41.9%, RPG 37.7%, Adventure 20.4%

Why You'll Like It: An interactive fiction title that puts your medical ethics and survival instincts to the test during a devastating epidemic.

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 18.7%, Psychological 14.9%, Survival Horror 14.7%, Horror 13.2%, Surreal 8.8%

Why You'll Like It: A first-person psychological horror game focused on dark, surreal environments and unsettling narrative mysteries.

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%

Why You'll Like It: Features an unforgiving horror structure where death is permanent and the lurking threat adapts to your actions.

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 22.7%, Horror 17.6%, Surreal 15%, Survival Horror 10.8%, Choices Matter 10.6%

Why You'll Like It: An atmospheric walking simulator and psychological horror title set in an industrial wasteland of unending dread.

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 10.9%, Atmospheric 9%

Why You'll Like It: Combines medical simulation and detective puzzle-solving within the unsettling confines of a psychiatric institution.

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 12.4%, Psychological 11.7%

Why You'll Like It: A psychological thriller emphasizing moral choices and survival within a town trapped in unnatural darkness.

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 15.2%, Psychological 14.7%, Psychological Horror 13.5%, Dystopian 10.5%, Horror 10.4%

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 23.3%, Horror 20.3%, Survival Horror 15.2%, Surreal 12.3%, Simulation 6.9%

Why You'll Like It: Delves deep into the human psyche with dark, hallucinatory horror themes and investigation elements.

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 16.7%, Story Rich 12.6%, Atmospheric 8.8%, Difficult 7.9%

Why You'll Like It: A tense management simulator where resource tracking and agonizing moral choices determine life or death.

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 24.8%, Horror 19.4%, Dystopian 16.8%, Surreal 11.9%, Simulation 7.7%

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 33.8%, Psychological Horror 21.5%, Choices Matter 14.6%, Story Rich 11.6%, First-Person 7.8%

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%

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 18.3%, Psychological 15.8%, Survival Horror 9.6%, Horror 8.8%, Immersive Sim 7.6%

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 27.1%, Choices Matter 25.1%, Simulation 15.6%, Story Rich 14.3%, Atmospheric 9.4%

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 18.5%, Survival Horror 16.2%, Difficult 7.7%

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 17.2%, Choices Matter 12.9%, Story Rich 8.7%

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 16.8%, Immersive Sim 10.7%, Choices Matter 9.7%

An exploration Survival Horror game set in the idyllic town of Lucenille. Explore every single crevice and find what happened to your friends. BRING THEM BACK. MAKE THEM UNDERSTAND

Why similar: Psychological Horror 21.1%, Survival Horror 20.1%, Horror 14.7%, Immersive Sim 14.5%, Detective 10.9%

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 24.6%, Horror 17.3%, Psychological Horror 13.9%, Survival Horror 13%, Story Rich 10.1%

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 19.3%, Lovecraftian 14.3%, Surreal 14.1%, Horror 13.6%, Survival Horror 12%

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%

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 17.6%, Horror 13.6%, Choices Matter 9.6%

It started in your foot. Now it’s in your head. All that remains is the command: GO UP. Meet strange neighbors. Make bad trades. Every ascent teaches you what you should have done differently.

Why similar: Psychological Horror 34.6%, Horror 24.6%, Survival Horror 15.9%, Atmospheric 11.3%, First-Person 9.8%

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 9.8%, First-Person 7.3%

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 44.8%, Atmospheric 13.5%, Simulation 13.2%, Story Rich 12.9%, Choices Matter 12.8%

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 8.5%

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 13.9%, Immersive Sim 13.8%, Story Rich 11.5%, First-Person 10%

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 36.8%, Horror 23.4%, Immersive Sim 21.2%, First-Person 13.4%, Adventure 5.2%

Have you ever wanted to be a psychiatrist? Now you can! Be a shrink for 14 days. Meet 14 patients with unique story of their lives. Diagnosis, treatment, chosen dialogues have impact on history of patients. The choice is yours.

Why similar: Psychological 23.3%, Psychological Horror 22.1%, Horror 15.6%, Immersive Sim 11.7%, Choices Matter 10.5%

Necrophosis is a first-person horror adventure, plunging you into a nightmarish realm teeming with grotesque forms and ominous visuals. Delve into eerie landscapes and uncover secrets in this atmospheric journey through the macabre.

Why similar: Lovecraftian 26.2%, Psychological Horror 22.3%, Surreal 19.7%, Horror 15.4%, Choices Matter 8.3%

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 17.7%, Dystopian 15.3%, Choices Matter 15.2%

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 20.9%, Story Rich 14.1%, Adventure 10%, Atmospheric 9.1%

Husk is a purebred FPP horror inspired by the most classical representatives of the genre. Discover Shivercliff - a daunting town where you uncover the ominous and tantalizing plot. Face the worst nightmares, solve mysteries and survive the devouring darkness in order to find your family.

Why similar: Psychological 21.3%, Psychological Horror 19.1%, Horror 16.8%, Survival Horror 11.5%, Atmospheric 7.5%

In a remote provincial town, teenagers mysteriously disappear every 25 years — and it is happening again. You are a high school student about to turn 18… But what if you become the next victim?

Why similar: Psychological Horror 25.9%, Psychological 23.8%, Horror 18.5%, Atmospheric 8.5%, Story Rich 8.5%

You are a participant in Project Threshold, an experiment designed to force people to confront their deepest fears. Pass through sets of blue and red doors, survive what waits beyond them, and reach the end, if escape is even possible.

Why similar: Psychological Horror 19.4%, Psychological 19.3%, Horror 17.8%, Surreal 11.8%, First-Person 9.8%

This experience can be classified as a psychological and atmospheric horror game. However... This isn't a game... Remember all of the urban legends from your childhood? Imagine if it was all real, but we just weren't performing the right rituals to summon these beings from another realm... Well, now you can...

Why similar: Psychological Horror 17.1%, Psychological 13.2%, Horror 12.3%, Survival Horror 10.2%, Choices Matter 8.9%