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survival horror

Pathologic 3

By Ice-Pick Lodge, released 1 Jan 2026

  • Xbox Series X and Series S
  • Microsoft Windows

What it is

Pathologic 3 is a psychological survival horror game from Ice-Pick Lodge about trying to save a town from a plague within 12 days. You play Daniil Dankovsky, a physician and researcher who arrives in search of an immortal man, only to find the outbreak underway and that man dead. The story sends you back to the beginning to correct mistakes and attempt to save the town. Medical work means examining patients, diagnosing illnesses and separating real symptoms from what people conceal, with the aim of developing a vaccine. You also shape the town’s response through measures such as quarantines, medicine confiscations, vaccinations, patrols and curfews. Those decisions can bring consequences and unlock new decrees. The game is listed for Windows and Xbox Series X|S, with single-player, achievements and full controller support among its Steam features.

What players like, and what they don't

  • A 12-day deadline frames the attempt to save the town.
  • Examine patients and diagnose medical mysteries.
  • Town decrees include quarantines, patrols and curfews.
  • Steam lists full controller support.
  • The listed platforms are Windows and Xbox Series X|S.
  • The game is listed as single-player.

Who it suits

It suits players who want psychological horror built around diagnosis, time pressure and difficult decisions. Its town-management decrees may appeal to players interested in shaping how a community responds to an outbreak.

Pathologic 3 combines patient diagnosis with decisions about controlling a plague-stricken town. The 12-day limit and the consequences of decrees put pressure on both medical and civic choices.

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