Pathologic 3
Released: 1/9/2026
Score Breakdown
80.6
Critic Average
15 reviews
83
Steam User Score
2,036 reviews
69
Metacritic User Score
34 reviews
Disparity Breakdown
81 vs 83
81 vs 69
Average of both sources
Review Disparities
Each point represents a critic review. Hover for details. Positive = critic higher than users. Negative = critic lower.
2/2/2026
Launch Window“Pathologic 3 is a bizarre remake of a game from 2005 that seems to combine the worst elements from Persona 5 and the Arrow TV series, and wants you to think that it’s somehow compelling. Its lack of atmosphere and plain dressing sap any curiosity I had, and the need for the game to hide even the most basic of information may attract the equivalent of horror game Soulslike fans, but I’d urge anyone to stay away. Somewhere in Pathologic 3, there’s a very interesting Trauma Center game with plenty of lore, decisions to make, and patients to save. Unfortunately, a time-travel and horror story is grafted onto it. Horror fans, you deserve better.”
100
20/20
2/2/2026
Launch Window“A rich psychological horror, Pathologic 3 is a tad more forgiving but no less demanding than its predecessors. With a complex but never impenetrable timey-wimey story, it puts the weight of the world on your shoulders and you'll be grateful for it.”
80
80/100
1/27/2026
Launch Window“Pathologic 3 marks the arrival of the third chapter in a unique saga, one that will be remembered not so much for its refined gameplay, but for its decidedly memorable storytelling and narrative style. Its gruesome atmosphere confronts us with contemporary dilemmas and a horror we can relate to.”
80
80/100
1/25/2026
Launch Window“Given a little more time to cook, Pathologic 3 would be an easy recommendation to players looking to see what this cult series is about. For those returning, tragic healers, these wobbles will hardly detract from the allure of another deadly vacation with gaming's most neurotic medicine man.”
75
75/100
1/22/2026
Launch Window“Intentionally and unintentionally thorny, but still one of the most compelling mystery adventures since Disco Elysium.”
80
80/100
1/22/2026
Launch Window“Although Pathologic 3 is much more accessible than its predecessor, it's still far from being a welcoming or even minimally simple experience, as it relies on hostility and discomfort as its main attributes—and its less-than-ideal optimization unintentionally contributes to this. Obviously, it's a design that will certainly alienate a large part of its audience, but it's also what makes it a unique experience capable of appealing to its niche through its peculiarity.”
80
80/100
1/21/2026
Launch Window“Pathologic 3 is the most approachable title in the series, offering a good mix of narrative, carefully crafted atmosphere, management elements, and tense infected district sections. Players need to diagnose patients correctly to stand a chance of keeping the population alive, which in turn earns the time needed to discover all the town’s secrets.”
90
90/100
1/15/2026
Launch Window“But perhaps that’s the point. Pathologic 3 is about disease and friction and difficult choices. It is not a game for everyone, and it doesn’t try to be. It’s demanding and deliberately obscure, and asks you to embrace failure as part of its teaching method; that will put people off.”
70
70/100
1/14/2026
Launch Window“Pathologic 3 kicks off 2026 with an intense and unforgettable experience, blending diverse gameplay elements into a uniquely striking whole with strong design and originality, and while the lack of voice acting slightly weakens the audiovisual impact, its bold vision and distinctive atmosphere make it absolutely worth playing—especially for those seeking something truly different.”
80
80/100
1/12/2026
Launch Window“Defying all traditional game design conventions like its predecessors, Pathologic 3 offers a consistently compelling journey of morality in the face of death.”
80
80/100
1/12/2026
Launch Window“Pathologic 3 is a deliberately abrasive survival experience that blends detective work, time management, and psychological pressure into something uniquely unsettling. It’s rough around the edges and often frustrating by design, but for players willing to engage with its systems on their own terms, it offers a bleak, rewarding experience few games dare attempt.”
75
75/100
1/11/2026
Launch Window“Pathologic 3 is a familiar survival horror concept brought to life by artists with twenty years of experience – a mature, competent, and precisely tuned work. One of the best stories in video games, told in an extremely unique way. Is it still imperfect? Of course; Pathologic 3 still struggles with the limitations of its engine and budget, but these rarely bothered me.”
85
85/100
1/10/2026
Launch Window“Pathologic 3 doesn’t want to be liked. That thing wants to be honest, even if that honesty hurts, wears you out, or is mean. It changes what it means to “play” a plague story by shifting the focus from physical life to mental endurance. You won’t be able to save a town in this power dream. It looks at responsibility, memory, and how much power we can really have.”
79
79/100
1/10/2026
Launch Window“Pathologic 3 is a must-play for anyone invested in the franchise or intrigued by narrative-driven, mechanically rich experiences. Its strongest moments come from how seamlessly story and gameplay reinforce one another, creating a game that feels deliberate and purposeful in every system. While some roughness and minor hitches persist, the game’s focus, depth, and audacity make it an essential entry in the series.”
80
80/100
1/9/2026
Launch Window“"Pathologic 3 continues the series' reboot successfully, crafting a world that's filled with charm and mystery. It's easy to lose track of time in real life as you travel through time to save a town. While it's a strong entry for the series, it can feel too easy and is on the slow side when it comes to pacing."”
75
75/100
