Games like Pathologic 3

If Pathologic 3 left you wanting something dark and mysterious, you have options. These games offer a similar pull for your backlog.

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, Mysterious, Tense
74% of 913 Steam reviews are positivePlayers online now: 3$15.99
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, Story-driven
95% of 19 Steam reviews are positive$0.69
Sanatorium - A Mental Asylum Simulator
The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together. Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies. But tread carefully: one wrong move could expose you as an impostor.
Dark, Mysterious, Tense
59% of 210 Steam reviews are positive$12.99
YAMIKKO TROUBLEMAKER
A long-form, choice-driven psychological horror and depression game in which the protagonist’s ending changes based on the choices made by “you,” the voice he hears in his head.
Dark, Mysterious, Tense
96% of 124 Steam reviews are positiveFree
Mask of the Plague Doctor
Stop a deadly plague in a medieval fantasy tale of swords and surgery! Unearth medical knowledge, prevent the town’s purge, or plot your own escape.
Dark, Mysterious, Tense
85% of 62 Steam reviews are positive$7.99
Omen Exitio: Plague
Investigate a paranormal disease that threatens to eradicate humanity in this unsettling Lovecraftian adventure, inspired by the choose-your-own-adventure gamebooks of the 80s and 90s. Your choices will determine the story, your character’s destiny… and the future of humanity.
Dark, Mysterious, Tense
85% of 497 Steam reviews are positive$9.99
The Inn-Sanity
You booked a luxury hotel for one night. Bad timing: the city outside collapses into quarantine and monsters, and the hotel locks you in with guests who are slowly losing their minds. Talk carefully, pick who to trust, and try to stay human long enough to check out.
Dark, Mysterious, Tense
96% of 1,587 Steam reviews are positive$7.99
Bad Dream: Fever
A hand-drawn point & click nightmare about a city drowned in living blue ink. You investigate what caused the plague, solve strange riddles and try to save the one person still talking to you. Short, eerie and sincere, with puzzles that occasionally break the rules of the game itself.
Dark, Mysterious, Tense
82% of 1,354 Steam reviews are positivePlayers online now: 4Free
Double
Double is an action-quest game telling about a fight with a mental disorder by immersing in dreams. Choose your way and find out how this mystical story ends.
Dark, Mysterious, Tense
83% of 184 Steam reviews are positive$5.99
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, Mysterious, Tense
94% of 22,570 Steam reviews are positivePlayers online now: 144$19.99
Those Who Remain
As the lights go out, the embers of darkness are stoked in the sleepy town of Dormont. Confront uncomfortable horrors, keep your sanity in check and survive the night in this story-driven first-person psychological-thriller.
Dark, Mysterious, Tense
69% of 612 Steam reviews are positive$19.99
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, Mysterious, Tense
96% of 730 Steam reviews are positivePlayers online now: 12$11.99

Cheaper than Pathologic 3

Pathologic Classic HD

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

$12.99

Do No Harm

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

$15.99

The Book of Plagues

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

$0.69

Sanatorium - A Mental Asylum Simulator

The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together.

$12.99

Mask of the Plague Doctor

Stop a deadly plague in a medieval fantasy tale of swords and surgery! Unearth medical knowledge, prevent the town’s purge, or plot your own escape.

$7.99

Omen Exitio: Plague

Investigate a paranormal disease that threatens to eradicate humanity in this unsettling Lovecraftian adventure, inspired by the…

$9.99

The Inn-Sanity

You booked a luxury hotel for one night. Bad timing: the city outside collapses into quarantine and monsters, and the hotel locks you in with guests…

$7.99

Double

Double is an action-quest game telling about a fight with a mental disorder by immersing in dreams.

$5.99

Darkwood

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

$19.99

Those Who Remain

As the lights go out, the embers of darkness are stoked in the sleepy town of Dormont.

$19.99

MOLDRISE

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

$11.99

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

Hidden gems like Pathologic 3

MOLDRISE

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

$11.99

The Inn-Sanity

You booked a luxury hotel for one night. Bad timing: the city outside collapses into quarantine and monsters, and the hotel locks you in with guests…

$7.99

The Demons Told Me to Make This Game

Welcome to Red Hives, a lovely Midwestern town infested with demons.

$12.99

Dead Reset

A surgeon, a parasite and an underwater facility: make the right calls in a horror film where every death loops you back to the operating table.

$14.99

YAMIKKO TROUBLEMAKER

A long-form, choice-driven psychological horror and depression game in which the protagonist’s ending changes based on the choices made by “you,”…

Free

Fear The Timeloop

Sheriff James Cooper is slowly bleeding to death in an unfamiliar hospital. But the moment his life ends, everything starts over.

$14.99

The Apocalypse Sacrifice

As an adventurer, you have unintentionally uncovered a horrifying secret hidden in the town for years.

$9.99

The Heilwald Loophole

The Heilwald Klinikum used to be one of the most renowned medical facilities in Germany. That all changed when that curious loophole appeared...

$9.99

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

Father's Day

A slow, mournful ghost story about a scientist who loses his wife and son and builds a secret plan to get them back.

$6.99

Eternal Threads

Eternal Threads is a single-player, first-person story-driven puzzle game of time manipulation, choice and consequence.

$19.99

Newest games like Pathologic 3