Games like Pathologic 2

Miss the dark and tense pull of Pathologic 2? These games could fill that gap nicely.

Darkwood
A top-down survival horror where daylight is for scavenging and night is for surviving. Explore a shifting forest, trade with its broken locals, board up a hideout, and listen to the dark until dawn. Slow, tense and genuinely frightening, with a story your choices reshape.
Dark, Tense, Atmospheric
94% of 22,570 Steam reviews are positivePlayers online now: 185$19.99
The Book of Plagues
The city is drowning in Plague. Panic, hunger, and fear are tearing it apart. You are the last one who can change its fate: heal it, hold it back from collapse… or drive it to ruin with your own hands!
Dark, Tense, Atmospheric
95% of 19 Steam reviews are positive$0.69
Survivalist
One year after civilization collapses, hedge fund manager Joe Wheeler climbs out of his bunker because he ran out of food. You scavenge, trade, recruit survivors, and build a community where people remember how you treated them. Fast zombies, hard fights, and moral dilemmas included.
Dark, Tense, Scary
80% of 2,159 Steam reviews are positivePlayers online now: 4$4.99
Iron Blight
A cold, rainy Eastern Bloc town, a collapsed state, and one goal: survive the night and find your wife, Valeria. Every bullet counts, guns jam, and your backpack only holds so much. A retro survival horror with no HUD, where the streets are empty and the sounds in them are not.
Dark, Tense, Atmospheric
93% of 1,078 Steam reviews are positivePlayers online now: 9$12.49
Do No Harm
Lovecraftian Doctor Simulator. Diagnose patients by analyzing unsettling symptoms and treat them using your Book of Medicine. Make moral choices — decide who to save or kill, discover whom to trust, and unlock multiple endings! Can you endure 30 days of perilous decisions?
Dark, Tense, Atmospheric
74% of 913 Steam reviews are positivePlayers online now: 3$15.99
Bad Dream: Fever
A fever dream in ink. You pick through an empty, plague-hit city where fear and sorrow take physical shape, solving strange riddles and trying to save at least one person. Short, dark and hand-drawn, with puzzles that rarely play fair.
Dark, Tense, Atmospheric
82% of 1,354 Steam reviews are positivePlayers online now: 1Free
Lone Survivor: The Director's Cut
In this original and adult psychological survival horror, the masked protagonist must escape from a city ravaged by disease, by any means necessary.
Dark, Tense, Atmospheric
86% of 734 Steam reviews are positive$9.99
Help Will Come Tomorrow
In an uninhabitable Siberian wilderness, in a wake of October Revolution, a group of passengers survives the mysterious catastrophe of Trans-Siberian railway train. They must endure in a harsh ice-clad climate until rescue arrives. Facing many dangers, their own weaknesses and, their own prejudice.
Dark, Tense, Atmospheric
80% of 786 Steam reviews are positive$19.99
Pandemic Train
In Pandemic Train you are in charge of the crew aboard a train roaming the postapocalyptic wasteland, ravaged by both war and a deadly plague. Your goal is to survive long enough to discover the cure… or die trying. Humanity’s fate is in your hands! Start your journey now!
Dark, Tense, Atmospheric
57% of 239 Steam reviews are positive$16.99
The Last Plague: Blight
A slow, realistic survival game in a procedurally generated world sick with a disease called the Blight. Boil your water, treat your hides, build a shelter with no grid to help you, and find out what the Blight is before it finds you. Deep, demanding, and strangely calming if you like doing things properly.
Dark, Tense, Atmospheric
88% of 1,434 Steam reviews are positivePlayers online now: 31$16.99
MOLDRISE
An infection started in your foot and is now climbing toward your brain, leaving one clear thought: go up. Climb a thirty-floor apartment block, trade with strange neighbors, and manage hunger, thirst and rot along the way. Death only resets the building; what you know stays, and that is your real way up.
Dark, Tense, Atmospheric
96% of 726 Steam reviews are positivePlayers online now: 25$11.99
Illness in the East
Adventure RPG with horror elements and a touch of Eastern European history and mythology. The story of two girls who had a hard time of General illness.
Dark, Tense, Atmospheric
93% of 14 Steam reviews are positive$0.99

Cheaper than Pathologic 2

Pathologic Classic HD

Survive twelve days in a plague-stricken town, balancing resource management, desperate negotiations, and medical care.

$12.99

Darkwood

Survive a haunted forest where every choice shapes the story and the dark never quite lets go.

$19.99

The Book of Plagues

The city is drowning in Plague. Panic, hunger, and fear are tearing it apart.

$0.69

Iron Blight

Scavenge a dead town in first person, count every bullet and every can of food, and listen for what moves in the rain.

$12.49

Do No Harm

Lovecraftian Doctor Simulator. Diagnose patients by analyzing unsettling symptoms and treat them using your Book of Medicine.

$15.99

Survivalist

One year after civilization collapses, hedge fund manager Joe Wheeler climbs out of his bunker because he ran out of food.

$4.99

Lone Survivor: The Director's Cut

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

$9.99

Sister Ray

Sister Ray is a 2D survival RPG about Ray, an artist with an addiction who is raising her little sister and trying not to get caught.

$11.99

Vampyr

London, 1918. Dr. Jonathan Reid wakes as a vampire in a city dying of the flu, and must cure it while fighting the urge to feed on the very people…

$3.99

Help Will Come Tomorrow

In an uninhabitable Siberian wilderness, in a wake of October Revolution, a group of passengers survives the mysterious catastrophe of…

$19.99

MOLDRISE

An infected body, thirty floors of strangers and secrets, and one way out: up.

$11.99

Pandemic Train

In Pandemic Train you are in charge of the crew aboard a train roaming the postapocalyptic wasteland, ravaged by both war and a deadly plague.

$16.99

Hidden gems like Pathologic 2

MOLDRISE

An infected body, thirty floors of strangers and secrets, and one way out: up.

$11.99

Iron Blight

Scavenge a dead town in first person, count every bullet and every can of food, and listen for what moves in the rain.

$12.49

The RPG

Minimalistic Skyrim + West of Loathing + Supraland. An RPG-lite adventure with intentionally twisted traditional role-playing games aspects, where…

$14.99

The Last Plague: Blight

Craft, build and stay healthy in a sick open world, alone or with a friend, while a mysterious plague closes in.

$16.99

THRESHOLD

A lonely border post on a mountain, an endless train, and air too thin to waste.

$9.99

Pathologic 3

Diagnose the dying, rule a plague town by decree, and bend time itself to fix what went wrong.

$34.99

Into the Dead: Our Darkest Days

Keep a fragile group of survivors fed, armed and moving through a grim, tense story where every choice can cost a life.

$24.99

No, I'm not a Human

Check every guest for signs, and decide which desperate strangers deserve a place inside your burning world.

$14.99

Do No Harm

Lovecraftian Doctor Simulator. Diagnose patients by analyzing unsettling symptoms and treat them using your Book of Medicine.

$15.99

UNDYING - "KINGDOM"

Anling is bitten, and her time is short. UNDYING is a story-driven zombie survival game about teaching her young son Cody to live without her…

$19.99

Peregrino

Peregrino is a dark isometric survival adventure where you explore a cursed forest by day and manage your caravan by night.

$12.74

Self-Isolation

This game is a simulation of self-isolation. You need to support your family, not to lose your job and finally not to go crazy.

$4.99

Newest games like Pathologic 2