Pathologic 2
OpenCritic
Fair
IGDB
OpenCritic Score
Score Distribution
"Pathologic 2 is a surrealist drama wrapped in a survival game's tattered clothes. It's frustrating and haunting all at once. It's also one of the most atmospheric games ever made. Every element of Pathologic 2 – the persistent plague, delightfully twisted dialogue, and punishing survival mechanics – come together to form an intensely memorable experience. Is it fun? Not really. Is it brilliant? Almost certainly."
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About Pathologic 2
Ice-Pick Lodge released Pathologic 2 in May 2019 as a narrative-driven dramatic thriller. You play as a healer caught in a deadly outbreak within a secluded rural town. The game launched on PC, PlayStation 4, and Xbox One as a single-player experience. tinyBuild handled the publishing duties for this indie title that blends adventure and role-playing elements. The story forces you to survive a bleak world where food and medicine vanish quickly. This is not a typical quest where you save everyone. You must manage your own health while navigating a society collapsing under disease. The setting feels oppressive and strange from the first hour. It challenges players with difficult choices that lack clear right answers.
Gameplay
Your day splits into strict time slots that tick away relentlessly. You wake up, check your hunger meter, and decide where to go before night falls. Resources like bread or bandages appear rarely, so scavenging becomes a constant struggle. You talk to townsfolk to gather clues about the plague while avoiding their coughs. Combat is minimal but brutal if you get cornered by infected mobs or desperate locals. You craft medicines using random scraps found on the ground or stolen from clinics. Managing your stamina and sanity matters just as much as inventory space. The controls feel deliberate and weighty, matching the slow pace of a dying town. Every action drains energy, forcing you to prioritize survival over curiosity.
What Players Think
The PlayPile data shows a split reaction among players and critics. OpenCritic gave it a 70 out of 100 rating, with only 35.71% of critics recommending the title. IGDB lists a score of 76.7 based on 94 ratings. Average playtime sits high at over 20 hours for those who finish the main story. Community moods lean heavily toward frustrated but intrigued vibes during late-night sessions. Review snippets from GamingTrend call it a masterpiece of games as art despite its cruelty. KeenGamer described it as survival horror that plagues you psychologically. Completion rates remain lower than average because many players quit when the difficulty spikes near the second act. The data suggests people who finish this game feel a strong sense of accomplishment.
PlayPile's Take
Pathologic 2 costs around $39.99 on most platforms and offers 16 achievements to chase. This title suits players who want a punishing narrative that refuses to hold your hand. It is not for those seeking easy combat or clear victory screens. The game demands patience and acceptance of failure as part of the design. Ice-Pick Lodge built a world where you often lose, even when you try hard. If you can handle the slow pacing and bleak atmosphere, this experience stands out. You get 16 achievements to track your progress through the mess. Finish it only if you value difficult storytelling over traditional fun.
Game Modes
Single player
IGDB Rating
76.7
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