Pathologic 3 Wiki

Pathologic 3

Pathologic 3 is a 2026 survival horror RPG developed by the Russian studio Ice-Pick Lodge and published by HypeTrain Digital. A standalone sequel and reimagining of the Bachelor route from the cult classic Pathologic, it follows the arrogant idealist doctor Daniil Dankovsky as he is drawn into a remote, decaying town besieged by the lethal sand plague during a twelve-day catastrophe. The game recasts the survival loop around forensic plague investigation and a two-run Twin structure in which knowledge from a first playthrough reshapes the second, letting players master time, medicine, and the town's trust to trace the epidemic to its source. Set in the isolated Town-on-Gorkhon and the surrounding Steppe, it retains Pathologic's celebrated systemic quest web, name-driven NPC schedules, and oppressive atmosphere of communal collapse. A prologue titled Pathologic 3: Quarantine was released in March 2025.

• Twin Time-Loop Structure - The classic twelve-day survival window is recast as two connected runs: the first playthrough teaches the town, its people, and the plague, while the second lets the Bachelor apply that knowledge, with choices and discoveries carrying across the loop to alter how the story unfolds.
• Forensic Plague Investigation - Replacing the classic hunger and thirst meters, the core loop is diagnostic: players examine infected patients, read symptom and pathology data, trace the epidemic through the town, and manage the sand plague's progression while balancing the dwindling trust of the townsfolk.
• Immunity & Body System - Exposure to the plague is tracked against a living immune response rather than simple hit points; medicines, stimulants, rest, and risky field exposure all shift how infection spreads and how quickly the body recovers or decays.
• Day-and-Night Clock Survival - Each in-game day runs on a real-time schedule; quests from named NPCs arrive over the course of the day and are erased at midnight, while each day's main mission decides whether a key character (one of the Bound) lives or dies.
• Name-Driven Quest Web - Rather than scripted chain quests, objectives are generated by individual townsfolk whose movements follow the clock; who is alive, who remembers the Bachelor, and which secrets are revealed all depend on completed and failed interaction.
• Community & Trust Management - The Bachelor must negotiate favor, information, and supplies against the town's deteriorating social order, choosing which factions, families, and factions' interests to serve as the epidemic consumes the settlement.