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Pathologic 2

Pathologic 2

|Russia, United States|Adventure, Indie

8.3 /10

Aww Great!

Hot

12.2k ratings
Trailers & screenshots
Why play it

Pathologic 2 is a reimagining of the original, focused on the Haruspex, Artemy Burakh. You return to your plague-stricken hometown as a surgeon-healer caught between local kinship traditions, colonial urban power, impossible medicine, hunger, exhaustion, and a clock that never stops. Compared with the 2005 game, it is more mechanically coherent and cinematic, but still intentionally punishing: you are meant to triage, fail, compromise, and live with irreversible consequences.

Game highlights
Rating momentum

Aww Great!: 8.3/10 across 12.2k ratings. Word of mouth is strong — if you like the genre, go for it.

Play style

Leans into Adventure, Indie, Role-playing (RPG) — a quick read on whether that fantasy matches what you usually enjoy.

Reviews

20 media reviews

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Media

Member

GameSpotDavid Wildgoose · 30 May, 2019
5/10

Pathologic 2 offers a hauntingly bleak tale, then does its best to stop you from experiencing it.

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PC GamerTom Senior · 28 May, 2019
6.6/10

A gruelling mystery game that smothers its big ideas with dour survival mechanics.

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Rock, Paper, ShotgunBrendan Caldwell · 23 May, 2019

At its heart, Pathologic 2 is a frustrating game. Ten times more interesting than your average immersive sim (probably the genre it belongs), yet hundreds of times less inviting.

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DestructoidRaymond Porreca · 30 May, 2019
8/10

Pathologic 2 is a surrealist drama wrapped in a survival game's tattered clothes. It's frustrating and haunting all at once. It's also one of the most atmospheric games ever made. Every element of Pathologic 2 – the persistent plague, delightfully twisted dialogue, and punishing survival mechanics – come together to form an intensely memorable experience. Is it fun? Not really. Is it brilliant? Almost certainly.

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WccftechRosh Kelly · 23 May, 2019
6.5/10

I thought I would enjoy Pathologic 2, but its needlessly mundane and cruel systems take too much away from its otherwise interesting and strange world.

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Cubed3Coller Entragian · 15 Apr, 2025
7/10

Pathologic 2 is extremely unpleasant and crushing to play, but that is seemingly the entire point. The thought and effort poured into the balance of all the economies to make every action carry immense weight took courage from the developer. Haruspex are healers with a single purpose and live to save lives, but living does not come so easily in Pathologic 2. Those who are fascinated by the prospect of an immersive survival game where the fun is trying to make the best out of a losing situation will find this worth their time. Just keep an eye on your blood pressure while playing.

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Gaming ProfessorsPetra Svobodová · 12 Jan, 2025
7.5/10

Pathologic 2 is undoubtedly a fascinating game that stands out from others thanks to its focus on moral dilemmas, survival, and psychological elements. Although it suffers from some technical issues, such as poor optimization and frustrating survival mechanics, its strong narrative and atmospheric elements make it an interesting project worth checking out, especially for fans of dark adventure games. Overall, I would recommend the game to those who enjoy story-driven games with tough choices and a dense atmosphere. For others looking for carefree entertainment, this game might be too challenging and frustrating. Pathologic 2 is a game that requires patience and, in return, rewards you with a unique and unforgettable experience.

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Games FreezerCasey Roberts · 27 Apr, 2022
5.5/10

Tedious mechanics wore down my love for its creepy atmosphere and intriguing mysteries

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GamingTrendDavid Flynn · 28 Jan, 2022
9.5/10

Pathologic 1 & 2 are masterpieces of games as art. They are cruel and disturbing, but ask unique questions and do things you won't see anywhere else. These are singularly unique experiences that are worth suffering through.

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KeenGamerWilliam Dare · 22 Oct, 2021
9/10

Pathologic 2 is survival horror at its most challenging and rewarding. A horror game which plagues you both literally and psychologically. It certainly isn’t for everyone but it is a testament to what games can be at their best. Story telling gold. Whilst it isn’t fun, it isn’t meant to be.

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