After years of anticipation, the next chapter in one of gaming’s most unsettling franchises has finally arrived. Pathologic 3 is available today on PC, with publisher HypeTrain Digital ushering players back into a world defined by suffering, uncertainty, and moral compromise.
Unlike previous entries, Pathologic 3 is a fully standalone experience, making it an accessible entry point for newcomers while still expanding the series’ signature themes. This latest installment reimagines the formula as a narrative-driven open-world survival game, placing heavy emphasis on exploration, consequence-driven decision-making, and multiple endings shaped by player choice.

Twelve Days to Save a Doomed Town
In Pathologic 3, players step into the role of Daniil Dankovsky—a brilliant physician and researcher whose obsession with conquering death leads him to a remote town on the eastern steppe. He arrives searching for a man rumored to be immortal. Instead, he finds catastrophe.

A mysterious and deadly plague sweeps through the town. The immortal man is dead. The outbreak spreads. You fail.
But this time, failure isn’t the end.
Pathologic 3 introduces a haunting new structure that allows players to return to the past, revisit critical moments, and make different choices. The goal is clear: fix your mistakes, uncover the truth, and somehow save a town that seems determined to collapse under the weight of fear, disease, and human cruelty.

Power, Responsibility, and Consequences
Survival in Pathologic 3 isn’t just about managing hunger or avoiding infection—it’s about authority and trust. Over the course of twelve in-game days, players must:
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Examine patients, detect lies, and deliver life-or-death diagnoses
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Enforce quarantines, curfews, decrees, and roadblocks
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Navigate political tension by earning the trust of the town’s three ruling families
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Suppress riots and fight the plague directly in the streets
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Live with the consequences—or rewind time and choose differently

Every action ripples outward, shaping the fate of individuals, neighborhoods, and the town as a whole. There are no clean victories, only trade-offs.

A New Step Into the World of Pathologic
With its renewed focus on open-world exploration, branching narratives, and temporal manipulation, Pathologic 3 stands as both a continuation and a redefinition of the series. It retains the oppressive atmosphere and philosophical weight fans expect, while offering new systems that challenge how players approach failure itself.
Pathologic 3 is available now on PC, inviting players to confront disease, destiny, and the terrifying cost of trying to save everyone.