Pathologic 3 releases on January 9, 2026 for PC (Windows). It is developed by Ice‑Pick Lodge and published by HypeTrain Digital. You play physician Daniil Dankovsky racing against a plague that devours a steppe town, twelve days, branching choices, and a community that remembers your failures set the rhythm as scarcity, rumor, and fear push every decision.
DLC
No DLC announced at this time.
Editions – what’s included
No special editions confirmed at this time.
Review

Pathologic 3 doubles down on feeling vulnerable. Hunger, exhaustion, and sickness are constant, so every errand is a gamble and every shortcut has a cost. Conversations matter as much as scavenging, since favors, gossip, and guilt form your real currency. The day by day structure creates urgency without a hard timer screaming in your ear, and the town’s maze of alleys and landmarks becomes familiar and hostile at once.
Combat is deliberately clumsy, which is the point, though occasional spikes can feel punitive if you mismanage supplies. The mood is immaculate: stark interiors, creaking floorboards, and a score that sits heavy on your chest. Performance is solid, but you will hit some rough edges in crowd AI and pathing. If you buy into the rhythm, it is gripping in a way few horror games manage.
Verdict
Bleak, demanding, and memorable, built for players who enjoy pressure and consequence.
PC System Requirements
| Component | Minimum | Recommended |
|---|---|---|
| OS | Windows 7, 8, 10, 11 64‑bit | Windows 7, 8, 10 64‑bit |
| CPU | Intel Core i3 or AMD Ryzen 5 | Intel Core i7 or AMD Ryzen 7 |
| Memory | 8 GB RAM | 16 GB RAM |
| Graphics | GeForce GTX 960 | GeForce GTX 2070 |
| Storage | 25 GB available space | 25 GB available space |




