Pathologic 2

Ice-Pick Lodge · tinyBuild

Released: May 23, 2019
Platforms: Windows
Last updated: 04 Sep 2026, 02:06 GMT

Updates & announcements

20 posts

09 Jan 2026Developer post
Pathologic 3 is out!
Hello, friends. We’ve wanted to say these words for so long — and you’ve wanted to hear them. So here it is: Pathologic 3 is out now! Welcome to the Town-on-Gorhon. Release trailer Release discount As we mentioned before, a 20% launch discount is available for the next two weeks.
08 Jan 2026Developer post
Pathologic 3 × Akira Yamaoka Trailer
Hi, friends. One day until launch — the perfect time for a small gift from us. And not only from us! Akira Yamaoka , composer of the Silent Hill soundtrack, wrote a track for Pathologic 3 about the Town-on-Gorkhon. It resonates deeply with one of the game’s saddest — or perhaps m
13 Oct 2025Developer post
Pathologic 3 Demo and Release Date
Today we’re finally stepping onto the stage with the very news you’ve been waiting for. Release Date Pathologic 3 will launch on January 9, 2026 . That date is nailed down, screwed in, wrapped in commitments, and it isn’t moving. Pathologic 3 is a complex game. It blends many mec
09 Oct 2025Developer post
New Pathologic 3 Demo is coming to Steam Next Fest!
Hi there! We’re excited to share that on October 13, as part of Steam Next Fest, a new free demo of Pathologic 3 will become available. How is the new demo different from “Quarantine”? In every way! The new demo is a slice from the beginning of the full game. It has a different s
19 Jun 2025Developer post
Devlog #03: Has the time come? Or not yet?
Hello. We all know the feeling: you’ve already lost an argument and then, two days later, the perfect comeback pops into your head. Or you’re late for an important meeting because of traffic and think, “If only I’d taken the subway instead of a taxi!” And that’s to say nothing of
20 May 2025Developer post
Post-Quarantine FAQ
Hello. The release of Quarantine was a new experience for the studio. We’ve made demos before (The Marble Nest for example) but we’ve never gathered feedback this systematically. Hundreds of thousands of players tried the prologue, and we got to hear their thoughts: via the Steam
Hello. The release of Quarantine was a new experience for the studio. We’ve made demos before (The Marble Nest for example) but we’ve never gathered feedback this systematically. Hundreds of thousands of players tried the prologue, and we got to hear their thoughts: via the Steam community, on social media, and of course, in the survey. Quarantine helped us test new mechanics that will appear in Pathologic 3 and draw some valuable conclusions. Even Quarantine itself, which we don’t plan to update further, received rebalanced difficulty, QoL improvements, and several HUD variants after launch. But our main goal, of course, was to figure out what and how to calibrate in the main game. Oh, and by the way, add Pathologic 3 to your wishlist! It’s the easiest way to stay updated on development news. https://store.steampowered.com/app/3199650/Pathologic_3/
Hospital gameplay
The medical detective gameplay (examining patients and diagnosing them) is clearly the highlight of the prologue. That’s obvious from both the feedback and the survey ratings. Good news: there will be a lot more of it in the main game! Of course, getting to know eccentric townsfolk and grappling with the existential drama of human boundaries won’t go anywhere, but you’ll also have to engage deeply with the tragedies and illnesses of ordinary people. We can’t even say “way more than before,” because, well, this mechanic simply didn’t exist before. In the full game, these diagnostic stories will be more freeform than in the demo (where we were teaching the player, so mistakes were practically not allowed). We’re already experimenting with ways to make symptom logging (and therefore diagnosis) more convenient and engaging.
Localization
Our plans haven’t changed: we hope to include English, Russian, German, Simplified Chinese, Italian, and Brazilian Portuguese at launch. This is the first time a Pathologic game will launch with localization beyond Russian and English. The script had a lot of words, and writing quality matters deeply to us. That makes localization hard, but we’re committed to making the game more accessible for a broader audience. If we manage to expand it further, we’ll let you know!
City traversal
The main question after Quarantine: what’s up with the city? Why couldn’t you move through it without loading screens? And how will that change in the full game? …Why change a game where everything “worked”? Why not just write a new story in the same setting? We know some players would’ve liked that just fine. But for us that wouldn’t be enough. Not creatively (there’s already a game about digging through Gorkhon’s trash cans), and not commercially: sequels to indie games statistically sell much worse than the originals, and we’re making a sequel to a sequel. Just repeating ourselves? That’s a dead end. But trying new things is in the studio’s DNA. And that led us to the idea of a new kind of game — about a person lost in time, with narrative structure and space-time torn to shreds. That presentation will stay. It’s a core part of the concept — it can’t be changed. (And technically, it can’t be reversed at this point.) What will change in the full game, however, is the feel of the city. More specifically:

Route choice — this already exists, but was limited in Quarantine. Navigating the city should always feel like a small puzzle for Dankovsky.
Non-linearity — don’t forget, events will continue to occur simultaneously in different parts of the map. Even within one district, multiple things can happen — sometimes even conflicting ones.
Location content and situations — a lot more, and far more varied. Quarantine was a parade alley: a glimpse at the game, not the game itself. Many features that will be in Pathologic 3 didn’t make it into Quarantine.
City impact — the effects of your decrees will be visible. (Told everyone to wash their hands? They’ll be standing there, washing!) That’s also part of the city connection: issuing an order and seeing it come to life. It’s an important aspect of Dankovsky’s path.
Immersion… well, let’s talk about that in more detail.

Immersion
While the Haruspex sank into the flesh of the city, the Bachelor sinks into both the city and his own mind. We believe it’s possible to create a consistent sense of presence — even without consistency in time and space. You can doubt where and when you are, and still not lose the thread of your thoughts. That sensation is our goal in Pathologic 3.
Optimization
Even over a few Quarantine patches, we significantly improved performance. But the main round of optimization for the full game is still ahead. In other words — we’re planning for things to get much better.
Apathy/mania
Dankovsky’s mental state is a new mechanic. In short: we’ve seen that the overall concept works, but it’s not yet well-balanced (we’re working on it) or well-explained (we’ve improved it a bit with patches and HUD variants, and we’ll keep working on it). By release, we aim to fine-tune this “mental metabolism” so that it’s exactly as unnerving as we want: no more, no less.
Will there be an FOV setting in the full version?
Yes.
Will the content from Quarantine remain in the full game?
Originally, we planned to use Quarantine as the game’s intro. But we now believe we can make a smoother, prettier intro that introduces mechanics earlier. So most likely, some scenes from Quarantine will show up later in the game as flashbacks — but not at the beginning. As a complete experience, Quarantine will remain separate. (Don’t worry — that means more Seraphima and Platon, more Inspector and Capital — not fewer!) We’ll also give you a heads-up: the prologue’s store page will be taken down closer to the full game’s release. Everyone who already added it to their library will still be able to play it — so make sure to grab this piece of the story while you can.
To sum up
Quarantine turned out to be an interesting and very useful experiment — one we hope will help make the full version of Pathologic 3 even better. Thank you to everyone who took part. From now on, we’re focusing on further development of the full game. The prologue will remain available until… well, that’s not important. We’ll notify you when it’s about to go. Don’t forget to wishlist and follow the main game’s page so you don’t miss any news about its development: https://store.steampowered.com/app/3199650/Pathologic_3/ See you soon. We’ll need a wider curtain for what comes next, Ice-Pick Lodge
Original post
17 Mar 2025Developer post
Pathologic 3: Quarantine is out!
Hello, dear friends. Today, we are thrilled to announce that Pathologic 3: Quarantine, the free prologue to the upcoming game, is now available. This is your first glimpse into Pathologic 3. The Bachelor arrives to the Town-on-Gorkhon for the first time, discovering its secrets a
04 Mar 2025Developer post
Pathologic 3: Quarantine is out on March 17
Hello, friends! The clock is closer and closer to its final tock. For the most recent tick , enjoy the new trailer for Pathologic 3: Quarantine. Quarantine is the free prologue to Pathologic 3 that will be released on March 17 . Prepare to dive into the dark world of Pathologic 3
11 Feb 2025Developer post
Pathologic 3 Devlog #02: Do No Harm
Hey, The development of Pathologic 3 continues, and so does our conversation. Today, we’ll talk about a mechanic that is unique to Bachelor’s story — something you’ve never seen in the series before. This devlog is available in both text and video formats. WARNING! Strange as it
24 Dec 2024Developer post
Wishlist Pathologic 3: Quarantine Now!
Hi everyone! We’re finally ready to share a little mischief with you, called Pathologic 3: Quarantine. Quarantine is a free prelude to Pathologic 3 that you’ll be able to experience before the main game’s release. It’s akin to a demo version, but not quite. Our longtime followers
19 Nov 2024Developer post
Pathologic 3: Sound and Atmosphere
Hey friends! Here's a video from our sound design team, put together for Save and Sound. Consider this a controlled Pathologic 3 gameplay leak of sorts, with plenty of hints and mini-teasers. We won’t be explaining everything just yet, but stay tuned for more details in December.
15 Nov 2024Developer post
Pathologic 3 FAQ #1
Hey hey! We know the wait has been long, and we want to thank you for the warm reception of the announcement. Today, we’d like to clarify a few points that we often see coming up in community discussions about the Pathologic 3 announcement. So, let’s get started! Q: What happened
Hey hey!
We know the wait has been long, and we want to thank you for the warm reception of the announcement. Today, we’d like to clarify a few points that we often see coming up in community discussions about the Pathologic 3 announcement.
So, let’s get started!
Q: What happened to the route for Pathologic 2? Has it evolved into a sequel? A: Yes, that’s exactly what happened: the game simply grew beyond our concept of DLC—it will have different gameplay and entirely new features. Instead of one game with three playthroughs using the same gameplay but different storylines (as in the original 2005 release and the Classic HD remaster), we’re creating three fully developed games with distinct gameplay and significant differences in narrative. Now, these are truly three separate protagonists with unique worldviews, perceptions of reality, and distinct tools. From a gameplay perspective, this means three different approaches and a complete rethinking of the original scripts. One storyline was released in 2019, centered on the Haruspex. It was a large game that took much more time and work than initially planned. For publishing reasons, it was titled Pathologic 2. Pathologic 3 is a new, full-fledged game focused on the Bachelor. The title was chosen to avoid confusion, making it clear that this is not a DLC but a complete game with a similar playtime. Q: What about the Changeling? A: Finally, there’s the Changeling, but we’d prefer not to make promises prematurely, so we’ll return to her when there’s more to share. Moving forward, we plan to stick to this approach. We understand that premature promises about the previous Pathologic led to unfulfilled expectations. We apologize for that and don’t want to mislead you in the future. The developer should not be an unreliable narrator—unlike his characters. Q: How do Pathologic 2 and Pathologic 3 differ? A: The protagonists! And that’s only half-joking. The main idea and reason for dividing these games is that the Haruspex and the Bachelor are very different characters. The further we developed the Bachelor’s story, the clearer this became. We didn’t want to compromise by making the game a “safer” rework of the original script, so we reimagined the core gameplay loop: The Haruspex needed to survive, fight, scavenge, rummage through garbage for scraps of bread, and try to save those he held dear along the way. The Bachelor is a man of intellect. Survival is not his primary concern; his goals go beyond what one lifetime could contain. He needs to think, formulate theories, and gather evidence. Ultimately, he must issue commands and observe the results. This distinction will be emphasized through gameplay, mechanics, objectives, soundtrack, and so on. After Save and Sound, we plan to return later this year to show you what we mean. As they say, ""Show, don’t tell."" Q: Who will receive game keys? A: We remember our commitments to those who supported us during the fundraising stage nearly ten years ago, so we will provide keys to:

Kickstarter backers and other platforms where support for the game was available during the fundraising stage
Backers from 2014 and 2015
Also, backers entitled to two copies will receive two keys. We’ll share details on how to claim keys closer to release. Q: Will the new game have its own artbook? A: At the moment, we’re not planning a physical one, but we might create a digital artbook for the Supporter Pack. We're not sure yet! Q: Which languages will the game be localized into, including text and voice-over? A: We definitely plan to localize into English and Russian, and we’re considering Brazilian Portuguese, German, and Simplified Chinese. We’ll confirm languages closer to launch. Q: Will the Russian title of Pathologic 3 remain? A: Yes, we’re still considering options. Current ideas include “Finally,” “See, You Didn’t Believe Us,” and “Sorry for the Long Wait.” Q: Will the game be available on GOG and other stores? A: We’ll know closer to release, but it’ll likely be available on all platforms where Pathologic 2 can be found. Q: Will preorders be available? A: No. Q: What platforms other than PC are planned for release? A: We’re planning releases for PS5 and Xbox S/X, likely following the PC release. Q: What engine is the game being developed in? A: The same engine as Pathologic 2: Unity. Q: Will the same voice actors return for Pathologic 3? A: Yes, we’ll bring back the same actors from Pathologic 2, or at least, we’ll do our best. We’ve prepared a big surprise for you in the coming months, so please add Patholgic 3 to your Steam wishlist! https://store.steampowered.com/app/3199650/Pathologic_3/
Original post
07 Oct 2024Developer post
The Bachelor's Story Begins
Dear friends, We have some exciting news to share today. We are announcing the new Pathologic game. We’ve been quiet for a while, but we’ve seen all your memes and comments about the mythical Bachelor route. Now it’s time to conclude our creative exploration and let you rewrite B
04 Feb 2021Developer post
Unofficial German translation project for Pathologic 2
Wir haben ausgezeichnete Nachrichten, Freunde! Dank E1I1N1S1 wir haben jeztz die erste Version der deutchen Übersetzung von Pathologic 2. im Laufe der Zeit wird die Übersetzung weiter verbessert. Um alles zu beschleunigen, bitten wir sie die Modifikation zu testen. Was euch erwar
04 Feb 2021Developer post
Unofficial Ukrainian Localization
Мешканці Міста-на-Горхоні! У ці складні часи, коли ми втрачаємо надію, а Місто чахне на очах від жахливої епідемії, так приємно отримувати гарні новини. Завдяки зусиллям Moder5ly відтепер Pathologic 2 доступний і українською мовою! За чотири місяці Moder5ly переклав 28 тисяч стрі
18 Dec 2020Rock, Paper, Shotgun
The 9 worst neighbourhoods in PC games
One Off The List is our monthly list feature. Is there something you think doesn’t deserve to be on this list? Comment with your reasons why, and next month it may be struck off. Many of you are by now bathing in twinkling neon ravelights and swooning into the metal arms of Cyber
18 Dec 2020Rock, Paper, Shotgun
The 9 worst neighbourhoods in PC games
One Off The List is our monthly list feature. Is there something you think doesn’t deserve to be on this list? Comment with your reasons why, and next month it may be struck off. Many of you are by now bathing in twinkling neon ravelights and swooning into the metal arms of Cyber
21 Nov 2020Developer post
Now you can play Pathologic 2 in Portuguese!
The enthusiast aka rato profeta spent several months working alone on this release. He did a great job translating 250,000 words from English! «In translating the game, I created a variety of variants and studies to make an accurate translation of the characters' names. Each char
17 Nov 2020Rock, Paper, Shotgun
The best survival games on PC
It’s no longer the most urgent gold rush in PC games, but survival games continue to be regularly released, and older games continue to be regularly updated. It’s only natural then that we’ve taken some time out from foraging for edible berries to update our list of the best surv
03 Jun 2020Rock, Paper, Shotgun
The difficulty with Pathologic 2's difficulty
This is The Mechanic , where Alex Wiltshire invites developers to discuss the difficult journeys they’ve taken to make their games. This time, Pathologic 2 . “Nikolay, right now, what do you think about Pathologic 2? Was it a successful experiment?” “Oh yes, of course! Certainly

Updates & announcements

Pathologic 3 is out now!

Release trailer

Release discount

Backer keys (Kickstarter / “Threads”)

Supporter Bundle

Bundles with other games

Release Date

Steam Next Fest Demo

What’s in the Demo

Localizations

Controller Support

The Cost of Mistakes

12 Days Until the End

Be Ready to Answer for Your Actions

Minutes of Life Are Worth Their Weight in Gold

Everything Can Change

Hospital gameplay

Localization

City traversal

Immersion

Optimization

Apathy/mania

Will there be an FOV setting in the full version?

Will the content from Quarantine remain in the full game?

To sum up

You Are Not a Butcher

A Chance for Salvation

Trust No One

Take Action

Prepare for Consequences

To Kill Death

Hey hey!

So, let’s get started!