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Syntheses generated by statistical aggregation of player reviews.

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Steam specs (min / recommended)

Minimum: Système d'exploitation *: Windows 7/8/10/11 (64-bit) Processeur : i3 / Ryzen 5 Mémoire vive : 8 GB de mémoire Graphiques : NVIDIA GeForce GTX 960 DirectX : Version 11 Espace disque : 25 GB d'espace disque disponible Carte son : Integrated Notes supplémentaires : 64-bit OS is required

Recommended: Système d'exploitation *: Windows 7/8/10 (64-bit) Processeur : i7 / Ryzen 7 Mémoire vive : 16 GB de mémoire Graphiques : NVIDIA GeForce GTX 2070 DirectX : Version 11 Espace disque : 25 GB d'espace disque disponible Carte son : Integrated Notes supplémentaires : Plays best when loaded from an SSD. 64-bit OS is required

Pathologic 3

⚔️ Compare View on Steam ↗
Released January 9, 2026
sample: 409 reviews posted after launch (75 AI-classified)
73/100
Player Score — positive reviews weighted by volume · Steam history: 81 % · 2,673 reviews (« Very Positive »)
34,99€🛒 Compare on Instant Gamingaffiliate link

A mix of dread and intellect keeps players glued for dozens of hours. 74% of post-release reviews still land in positive territory, but the harsh early days cast a long shadow.

What it's about: 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.

In-game

Screenshot Pathologic 3Screenshot Pathologic 3Screenshot Pathologic 3Screenshot Pathologic 3Screenshot Pathologic 3Screenshot Pathologic 3
« I think the sooner players realize this is a Noir Detective Mystery Thriller with time travel and mental health themes and not another Hobo-Survival-Simulator or "Horror Game" the more fun they will have. »
👍 anonymous review · 222 h played12432
« The game has a mechanic where if your protagonist gets too bored he will literally blow his own brains out with a revolver, and that's really all you need to know to set the stage. »
👍 anonymous review · 5 h played3111
« While Pathologic 2 was an excellent game, Pathologic 3 shows an immediate improvement by allowing you to play as the cattiest snark in video game history. »
👍 anonymous review · 110 h played2111
« If you care about video games being something more than just blood-flavored slot machines for old babies, you should buy this one. »
👍 anonymous review · 18 h played11422
« еще не прошел, потом отредактирую отзыв пока что одна из лучших игр этого года, скорее всего так и останется лучшей »
👍 anonymous review · 72 h played1
« The Dark Souls of Walking Simulators »
👍 anonymous review · 276 h played
« releasing a game with this many game breaking bugs is... a choice. if you like pathologic, you'll like it regardless. i do NOT recommend to new fans at the current state »
👎 anonymous review · 50 h played211
« C'est pas du tout ce à quoi je m'attendais, le jeu n'est que lecture de dialogue et non soigner des gens et gérer une épidémie.... »
👎 anonymous review · 4 h played
« Thumb down until FR version is available (huge fan of Pathologic 2, played with FR patch) »
👎 anonymous review · 2 h played
« The game has fundamental issues which cannot be patched out and the translation is very bad. It's the worst game in the trilogy. »
👎 anonymous review · 4 h played
« For a game about changing the past n events, the fact that there's a way to easily lock you into a permanent bad end by getting a vision of a bad future like 15 hours in with no way to reverse it is insane. And extraordinarily annoying »
👎 anonymous review · 15 h played
« I get it. I undestand why there is so much ship fan art between Daniil and Artemy. »
👍 anonymous review · 97 h played

In players' words

« I think the sooner players realize this is a Noir Detective Mystery Thriller with time travel and mental health themes and not another Hobo-Survival-Simulator or "Horror Game" the more fun they will have. »
👍 anonymous review · 222 h played12432
« releasing a game with this many game breaking bugs is... a choice. if you like pathologic, you'll like it regardless. i do NOT recommend to new fans at the current state »
👎 anonymous review · 50 h played211
« The game has a mechanic where if your protagonist gets too bored he will literally blow his own brains out with a revolver, and that's really all you need to know to set the stage. »
👍 anonymous review · 5 h played3111
« C'est pas du tout ce à quoi je m'attendais, le jeu n'est que lecture de dialogue et non soigner des gens et gérer une épidémie.... »
👎 anonymous review · 4 h played
« While Pathologic 2 was an excellent game, Pathologic 3 shows an immediate improvement by allowing you to play as the cattiest snark in video game history. »
👍 anonymous review · 110 h played2111
« Thumb down until FR version is available (huge fan of Pathologic 2, played with FR patch) »
👎 anonymous review · 2 h played
« If you care about video games being something more than just blood-flavored slot machines for old babies, you should buy this one. »
👍 anonymous review · 18 h played11422
« The game has fundamental issues which cannot be patched out and the translation is very bad. It's the worst game in the trilogy. »
👎 anonymous review · 4 h played
« еще не прошел, потом отредактирую отзыв пока что одна из лучших игр этого года, скорее всего так и останется лучшей »
👍 anonymous review · 72 h played1
« For a game about changing the past n events, the fact that there's a way to easily lock you into a permanent bad end by getting a vision of a bad future like 15 hours in with no way to reverse it is insane. And extraordinarily annoying »
👎 anonymous review · 15 h played
« The Dark Souls of Walking Simulators »
👍 anonymous review · 276 h played
« I get it. I undestand why there is so much ship fan art between Daniil and Artemy. »
👍 anonymous review · 97 h played

Anonymized excerpts from public Steam reviews — picked among those most voted "helpful" by the community.

What players say, by aspect

Positive Mixed Negative
Gameplay
58 % pos · n=55
Story / writing
79 % pos · n=39
Performance
50 % pos · n=4
Stability / bugs
0 % pos · n=3
Graphics / art
100 % pos · n=1
Value for money
0 % pos · n=1
Detailed data (table)
AspectMentionsPositiveMixedNegative
Gameplay5532914
Story / writing393108
Performance4202
Stability / bugs3003
Graphics / art1100
Value for money1001

Positive reviews by playtime

🎮 Players who like it have spent 49 h on median; those who dislike it: 22 h.

<2h
20 % (n=20)
2-10h
41 % (n=41)
10-25h
54 % (n=39)
>25h
84 % (n=309)

Fixed or still broken? Sentiment over time

➡️ Stable reception over time
Jan 2026 : 77% positive77JanMar 2026 : 77% positive77MarApr 2026 : 71% positive71AprMay 2026 : 73% positive73MayJun 2026 : 80% positive80JunJul 2026 : 62% positive62Jul

% of positive reviews per month (months with ≥ 15 sample reviews).

💶 Price history

€22.75€26.24€29.74€33.23€36.73€24.49

Steam price tracked automatically since Jan 09, 2026 · All-time low: €24.49 (Jun 25, 2026)

100% completion difficulty ("platinum")

0,9 % Hardcore

of players have unlocked the rarest achievement — the upper bound of those who "100%'d" it. 72 achievements in total; the median achievement is unlocked by 10,6 % of players.

What creators say (YouTube)

No indexed video for this game yet.

See Pathologic 3 videos on YouTube →

This game on Twitch

Strengths

  • The story lingers in minds long after the credits roll: 31 positive mentions out of 39
  • Lore and writing earn near-universal admiration: 4 positive mentions out of 4
  • Players who push past the opening slump stick with the game: 84% positive for those logging over 25 hours

Weaknesses

  • A stubborn minority hits a brutal wall at launch: only 20% positive for sessions under two hours
  • Technical stumbles punctuate the experience: 3 negative mentions for bugs with no positives
  • Performance issues surface, albeit rarely: 2 negative mentions versus 2 positive

Who is it for?

Hardened fans of punishing RPGs with literary ambitions will find their match. Anyone expecting a streamlined adventure should look elsewhere.

Is Pathologic 3 worth it in 2026?

Yes, but with a few reservations: 81% of 2,673 Steam reviews are positive (player score 73/100). Most-praised strength: The story lingers in minds long after the credits roll. Current price: 34,99€.

Verdict

Pathologic 3 survives its own cruelty through sheer narrative power, yet the relentless learning curve and technical hiccups ensure it’s not for the faint-hearted. It rewards the patient, but the price of entry remains steep.

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Pathologic 3: 73/100 by players — Gamer Reviews

Most frequent keywords

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