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

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Released January 9, 2026

Adventure Indie RPG Simulation

sample: 409 reviews posted after launch (75 AI-classified)

74/100

Player Score — % of positive reviews since launch · 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.

In-game

« 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

« Vraiment bien mais il faudrait une traduction officielle en Français pour encore plus profiter du jeu. Sinon rien à dire, incroyable. »

👍 anonymous review · 66 h played

« Suicidal doctor with schizophrenia who is prone to heart attacks gets bullied for trying to cure a scheme from a pandemic. 9/10 (I hate reading but this game is an exception) »

👍 anonymous review · 11 h played

« Bachelor Dankovsky desperately needs a fidget spinner »

👍 anonymous review · 48 h played

« absolutely recommend though the game not without its faults as the amount of possible choices inevitably lead to combinatorial explosion, I admire the amount of work put into the game »

👍 anonymous review · 67 h played

« 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

« Have we played the same thing? It's as if Ice-Pick Lodge commissioned Poppy Playtime team to make a game and judging by the amount of positive reviews it seems no one noticed. Music's great though. »

👎 anonymous review · 5 h played

« Unique world with a unique story, non-linear time-bending gameplay aspects and plot-lines that make you think. Totally worth the price of entry. »

👍 anonymous review · 88 h played

In players' words

« The Dark Souls of Walking Simulators »

👍 anonymous review · 276 h played

« 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

« I get it. I undestand why there is so much ship fan art between Daniil and Artemy. »

👍 anonymous review · 97 h played

« Thumb down until FR version is available (huge fan of Pathologic 2, played with FR patch) »

👎 anonymous review · 2 h played

« Vraiment bien mais il faudrait une traduction officielle en Français pour encore plus profiter du jeu. Sinon rien à dire, incroyable. »

👍 anonymous review · 66 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

« Suicidal doctor with schizophrenia who is prone to heart attacks gets bullied for trying to cure a scheme from a pandemic. 9/10 (I hate reading but this game is an exception) »

👍 anonymous review · 11 h played

👎 anonymous review · 15 h played

« Bachelor Dankovsky desperately needs a fidget spinner »

👍 anonymous review · 48 h played

👎 anonymous review · 5 h played

« absolutely recommend though the game not without its faults as the amount of possible choices inevitably lead to combinatorial explosion, I admire the amount of work put into the game »

👍 anonymous review · 67 h played

« Unique world with a unique story, non-linear time-bending gameplay aspects and plot-lines that make you think. Totally worth the price of entry. »

👍 anonymous review · 88 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)

Aspect	Mentions	Positive	Mixed	Negative
Gameplay	55	32	9	14
Story / writing	39	31	0	8
Performance	4	2	0	2
Stability / bugs	3	0	0	3
Graphics / art	1	1	0	0
Value for money	1	0	0	1

Positive reviews by playtime

🎮 Players who like it have spent 50 h on median; those who dislike it: 19 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

📉 Down since launch (-14 pts) — reception has worsened

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

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

Popular clips — nobody live right now

context not required

LolotovCocktail · 3 views

temp

westofficesafecode · 1 views

еб№ный мидер №у№сос

krause207 · 6 views

чтобы допройти мор 3 я специально заболел чумой

andrusha_wav · 6 views

А трогать?

johndenver30 · 4 views

чтобы допройти мор 3 я специально заболел чумой

andrusha_wav · 2 views

See Pathologic 3 streams 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.

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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<a href="https://gamer-reviews.fr/en/game_3199650.html"><img src="https://gamer-reviews.fr/badge/3199650-en.svg" alt="Pathologic 3: 74/100 by players — Gamer Reviews" width="240" height="60"></a>