Games Like Pathologic Classic HD

Pathologic 2 is a groundbreaking open-world horror RPG. Resist the plague. Make medicine. Heal people. Perform an autopsy. Trade to get what you need. Fight and kill if necessary. Survive. Struggle with an outbreak in a secluded rural town that is rapidly turning into hell.

Why similar: Survival 14.4%, Story Rich 13.7%, Atmospheric 12.5%, Psychological Horror 11.8%, Difficult 10.5%

Why You'll Like It: This reimagining refines the original's punishing survival mechanics and narrative depth into a more modern, visceral experience.

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 15.5%, Psychological Horror 13.6%, Story Rich 11.6%, Dark 11.6%, Atmospheric 11.2%

Why You'll Like It: Captures the same sense of dread, isolation, and brutal survival in a hostile, decaying environment where every resource is precious.

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: Story Rich 32.5%, Choices Matter 19.3%, Atmospheric 17.3%, RPG 17%, Open World 6.8%

Why You'll Like It: A deeply philosophical, narrative-driven RPG that matches the intellectual weight and unique, surreal world-building of the seed game.

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: Survival 17.3%, Story Rich 14.9%, Dark 13.3%, Atmospheric 13%, Difficult 11.7%

Why You'll Like It: Developed by the same studio, this game shares the surreal, philosophical, and oppressive atmosphere that defines the Pathologic experience.

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: Psychological Horror 23.2%, Horror 19.4%, Difficult 15.9%, Dark 14.6%, RPG 12.5%

Why You'll Like It: A notoriously brutal and unforgiving RPG that mirrors the dark, psychological, and punishing nature of the seed game.

This critically acclaimed first-person RPG from Arkane Studios takes the player on an amazing journey into the fantasy world of Arx. Arx is wrought with turmoil, brought to the brink of destruction by a violent war.

Why similar: Classic 31.1% ★, RPG 18.6%, Atmospheric 16.3%, First-Person 14.5%, Story Rich 7.3%

Why You'll Like It: An immersive sim that rewards exploration and careful resource management in a dark, claustrophobic underground setting.

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 21.6%, Story Rich 16%, Dark 13.7%, Atmospheric 12.2%, Great Soundtrack 11.6%

Why You'll Like It: Focuses on resource management and dense, dark narrative exploration in a world that is actively trying to kill you.

The adventure plunges you into the tortured and hidden past of five humans. Delve into their darkest fears. Outwit the Master Computer AM in a game of psychological warfare. Disturbing, compelling. An adventure you won't easily forget !!

Why similar: Cult Classic 36.3% ★, Classic 18.3% ★, Psychological Horror 10.5%, Horror 10.5%, Story Rich 8%

Why You'll Like It: A bleak, philosophical point-and-click adventure that mirrors the oppressive, existential dread found in the seed game.

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: Survival 45.7%, Open World 28.4%, RPG 17.8%, Singleplayer 3%, Adventure 2.9%

Why You'll Like It: Provides a brutal, sandbox survival experience where the world is indifferent to your suffering and success is hard-won.

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: Cult Classic 51.6% ★, Classic 8.7% ★, RPG 7.8%, Great Soundtrack 5.7%, Dark 5.7%

Why You'll Like It: A cult-classic RPG that excels at world-building and maintaining a dark, supernatural atmosphere throughout its narrative.

System Shock® 2: 25th Anniversary Remaster is a genre defining experience that established innovative game-play mechanics that are a staple of the FPS and RPG genre today. Survive the wretched corridors of the Von Braun. Your training has prepared you for this.

Why similar: Atmospheric 20.4%, Horror 19.4%, Dark 17.5%, Story Rich 15.2%, RPG 8.3%

Why You'll Like It: A masterclass in atmospheric horror and immersive simulation that heavily influenced the genre's focus on tension and survival.

Originally released in 1998 on PC, and awarded as the Adventure Game of the Year, The timeless horror point-and-click, Sanitarium, is returning to frighten the bravest adventure game fans.

Why similar: Cult Classic 20.2% ★, Classic 16.8% ★, Psychological Horror 15.2%, Horror 13.1%, Atmospheric 9.5%

Why You'll Like It: A classic psychological horror game that delves into surreal, disturbing narratives and fractured mental states.

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 17.9%, Psychological Horror 14.7%, Atmospheric 13.5%, Difficult 12.3%, Horror 11.9%

Why You'll Like It: Features intense resource management and emergent gameplay in a claustrophobic, horror-filled environment that demands constant vigilance.

Trapped in a dark, Victorian city consumed by an ancient curse, you must plan your survival and daring escape using nothing but stealth, an arsenal of eccentric weapons, and your wit in this haunting adventure inspired by the immersive sims and survival horror greats of the late 90s and early 2000s.

Why similar: Atmospheric 38.2%, Dark 28.8%, First-Person 25%, Singleplayer 5.2%, Action 2.9%

Why You'll Like It: A dark, atmospheric immersive sim that emphasizes stealth, careful navigation, and a Victorian-gothic aesthetic.

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 18.9%, Psychological Horror 16.7%, Story Rich 11.3%, Atmospheric 10.9%, First-Person 9.4%

Why You'll Like It: A first-person horror game that prioritizes puzzle-solving and oppressive atmosphere over traditional combat.

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: Story Rich 38.2%, Atmospheric 30.1%, RPG 19.7%, Adventure 6.4%, Indie 5.5%

Why You'll Like It: A narrative-heavy survival game that explores themes of identity and precarity in a dystopian, decaying setting.

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: Story Rich 16.3%, Horror 13.4%, Atmospheric 11.3%, Walking Simulator 10.1%, First-Person 9.8%

Why You'll Like It: A narrative-driven horror game that focuses on investigation and atmospheric tension in a supernatural setting.

INFRA puts you into the boots of a structural analyst on a routine mission. Quickly though, your task turns into a fight for survival, all caused by deep-rooted schemes of the past. Your tools are simple: your camera and the wits to navigate a labyrinth of debris.

Why similar: Atmospheric 19.5%, Great Soundtrack 15.3%, Walking Simulator 14.1%, Story Rich 13.6%, First-Person 11%

Why You'll Like It: A slow-paced, atmospheric exploration game that emphasizes environmental storytelling and the decay of infrastructure.

A Dark Presence stalks the small town of Bright Falls, pushing Alan Wake to the brink of sanity in his fight to unravel the mystery and save his love.

Why similar: Story Rich 19.1%, Horror 17.8%, Atmospheric 15.6%, Psychological Horror 15.3%, Great Soundtrack 13.3%

Why You'll Like It: A psychological thriller that blends deep narrative mystery with intense, atmospheric horror elements.

"The Last Visit: 98th" is a psychological indie horror from the first person, in the genre of a walking simulator, in the setting of the post-Soviet winter space. The main focus is on the atmosphere of horror, which is emphasized by realistic 3D graphics.

Why similar: Psychological Horror 18.5%, Atmospheric 15.6%, Horror 14.4%, Dark 13.4%, Walking Simulator 11.6%

Why You'll Like It: A psychological horror experience that leans into the unsettling, surreal nature of its environment and narrative.

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: Story Rich 24.4%, Great Soundtrack 23.7%, Atmospheric 19.3%, Difficult 11.9%, Indie 11.8%

Why You'll Like It: Focuses on the moral weight of choices and the crushing pressure of a dystopian bureaucracy where survival is a daily struggle.

Mundaun is a lovingly hand-penciled horror tale set in a dark, secluded valley of The Alps. Explore various areas full of secrets to discover, survive hostile encounters, drive vehicles, fill your inventory, and solve a variety of handcrafted puzzles.

Why similar: Psychological Horror 17.9%, Walking Simulator 14.9%, Story Rich 14.5%, Dark 13.7%, Atmospheric 12.6%

Why You'll Like It: A hand-drawn folk horror game that captures a unique, unsettling, and atmospheric sense of place through its distinct visual style.

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 Horror 14.9%, Atmospheric 13.8%, Horror 12.2%, Walking Simulator 11.2%, Story Rich 11.1%

Why You'll Like It: A psychological horror game that explores trauma through an atmospheric, story-driven lens in a small, isolated town.

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 19.8%, Horror 13%, Story Rich 12.5%, Survival 11.5%, Atmospheric 11.4%

Grab your headphones and play one of the most atmospheric horror games on Steam!

Why similar: Horror 14.9%, Psychological Horror 13.4%, Classic 13.4% ★, Survival 11.4%, Atmospheric 9.7%

Why You'll Like It: A psychological horror game that emphasizes isolation and environmental storytelling within a confined, eerie location.

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: RPG 39.3%, Atmospheric 20.6%, Open World 14.2%, Difficult 13.6%, Indie 5.3%

Why You'll Like It: A challenging, old-school RPG that forces players to survive in a claustrophobic, post-apocalyptic underground with limited resources.

Doorways: Holy Mountains of Flesh is an Immersive Horror Adventure, featuring a Complex Story and Deep Atmosphere.

Why similar: Survival 14.9%, Psychological Horror 13.7%, Horror 11.3%, Dark 10.8%, Difficult 10.5%

Why You'll Like It: A visceral, Lovecraftian horror game that focuses on disturbing imagery and exploration in a hostile world.

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: Atmospheric 37.4%, Story Rich 22.9%, Great Soundtrack 22.1%, Adventure 9.5%, Indie 5.6%

Why You'll Like It: A surreal, narrative-driven experience that shares the dreamlike, philosophical, and melancholic qualities of the seed game.

Re-discover what made System Shock the first of it's kind, a ground breaking immersive sim that would inspire a generation of games to come....

Why similar: Cult Classic 35% ★, Classic 22.6% ★, Horror 9%, Great Soundtrack 7.3%, RPG 6%

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

Why similar: Horror 23.6%, Psychological Horror 14.8%, Atmospheric 12.4%, First-Person 10%, Story Rich 9.8%

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: Cult Classic 39.2% ★, Story Rich 15.4%, Great Soundtrack 14.1%, Horror 10.7%, Open World 7.7%

The game that defined the survival-horror genre is back! Check out the remastered HD version of Resident Evil.

Why similar: Cult Classic 25.8% ★, Classic 25.1% ★, Horror 12.3%, Survival 10.9%, Atmospheric 9.8%

Moscow: somewhere in the near future. The city and perhaps the Earth's surface has turned into a radioactive ash. Those who decided that they could not exist in such conditions began to live under the ground.

Why similar: Story Rich 19.7%, Great Soundtrack 15.7%, Classic 15.6% ★, Atmospheric 12.1%, Survival 10.5%

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: Atmospheric 14.5%, Psychological Horror 14.1%, Walking Simulator 12.8%, Story Rich 11.8%, Horror 10.7%

The Beast Inside is a unique, gripping twist on thriller and survival horror. Immerse in the story of long-buried secrets, personal tragedies, and madness. Play as two protagonists bounded by dark heritage. Combat the enemies, solve riddles and experience real terror in the 3D-scanned environment.

Why similar: Horror 21.8%, Survival 13.3%, Psychological Horror 12.6%, Story Rich 10.5%, First-Person 8.4%

Inhabiting the World of Darkness, you must face a series of brutal confrontations with your nemesis Vukodlak, a powerful vampire lord.

Why similar: Cult Classic 27.5% ★, Classic 20.2% ★, RPG 11.9%, Story Rich 11%, Great Soundtrack 9.7%

Follow the grim tale of young Amicia and her little brother Hugo, in a heartrending journey through the darkest hours of history.

Why similar: Story Rich 29%, Atmospheric 16.5%, Great Soundtrack 14.4%, Dark 10.9%, Survival 9.7%

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 27.4%, Story Rich 22.8%, Choices Matter 20%, Atmospheric 16.9%, Adventure 7%

Caligo is the darkness everyone descends into one way or another, and to each of us it's something different. For some it's a short but exciting adventure, some will see it as a place to relax. Yet others will be reminded of their worst nightmare, while for a few, it might come as a revelation.

Why similar: Great Soundtrack 17.6%, Walking Simulator 14%, Atmospheric 12.9%, Story Rich 11.2%, Psychological Horror 10.1%

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: Psychological Horror 20.1%, Horror 16.1%, Story Rich 15.2%, Atmospheric 14.8%, First-Person 7.2%

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 19.5%, Atmospheric 19.2%, Horror 17.9%, Walking Simulator 17%, Story Rich 16.2%

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: Psychological Horror 18.5%, Dark 16%, Atmospheric 14.4%, Horror 12.9%, Story Rich 10.7%

Doorways is an immersive horror adventure, featuring a complex story and deep atmosphere.

Why similar: Horror 25.5%, Survival 12.8%, Dark 10.8%, Atmospheric 10.4%, First-Person 8.6%

The Initiate is a mystery puzzle game. You awake in a house full of traps and puzzles - This is your trial; complete it, or die!

Why similar: Great Soundtrack 20%, Atmospheric 17%, Psychological Horror 15.4%, Story Rich 14.6%, Horror 13.3%

Your main task is to find out who is involved in the spread and experiment on the "E" virus - Ebola, you need to stop the spread of the virus, and at the same time survive yourself! Millions of people may die.

Why similar: Survival 15.4%, Psychological Horror 15.1%, Atmospheric 13.8%, Horror 12.2%, Story Rich 10.2%

S.T.A.L.K.E.R.: Shadow of Chornobyl, the first chapter of the Legends of the Zone Trilogy, which started it all.

Why similar: Atmospheric 21.4%, Survival 21.3%, RPG 16.2%, First-Person 15.5%, Choices Matter 8%

The game that started the popular survival horror genre returns better than ever! Players control Edward Carnby, the main character from the original Alone in the Dark, on a thrilling journey through a dark and terrifying re-creation of New York's Central Park where Carnby must discover the truth behind a dark conspiracy.

Why similar: Cult Classic 22.4% ★, Horror 17.6%, Great Soundtrack 12.4%, Atmospheric 9.2%, Survival 8.6%

Mind-altering sandbox game that can be described as a racing role-playing adventure game with a complicated storyline. You’ll find a unique atmosphere, complete freedom and lots of gameplay hours to figure out what’s the game is all about.

Why similar: Classic 24.1% ★, Atmospheric 14.3%, Great Soundtrack 13%, Story Rich 11.4%, Psychological Horror 10.4%

Smuggle contraband VHS tapes across the border. Discover the remnants of illicit industry. Prepare for an assassination. This is Paratopic, an atmospheric retro-3D horror adventure through a cursed fever dream.

Why similar: Horror 18.9%, Great Soundtrack 18.7%, Atmospheric 17.4%, Psychological Horror 15.5%, Dark 8.9%

In this original and adult psychological survival horror, the masked protagonist must escape from a city ravaged by disease, by any means necessary.

Why similar: Horror 24.3%, Atmospheric 16.5%, Great Soundtrack 13.9%, Psychological Horror 11.3%, Dark 9%

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: Story Rich 30.8%, Atmospheric 23.6%, RPG 18.8%, Choices Matter 18.1%, Adventure 5.1%

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 21.6%, Atmospheric 15.4%, Horror 15%, Psychological Horror 14%, Open World 9.7%

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 39.3%, Atmospheric 28.3%, Dark 23.2%, Adventure 3.7%, Singleplayer 3.5%

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 22.3%, Horror 20.2%, Atmospheric 15.2%, Story Rich 12.6%, Great Soundtrack 12.3%