Pathologic 2 Cover Art

Pathologic 2

Survival, Horror RPG, Adventure, Indie

starstarstarstarstar_half(8 Ratings)

$34.99

Pathologic 2 is a narrative-driven open-world survival thriller set in a remote town gripped by a deadly plague. You play as Artemy Burakh, a surgeon known as the Haruspex, returning to his childhood home only to find his father murdered and the town collapsing into madness. You have 12 days to save as many people as possible, including your 'Bound' circle of friends, while managing brutal survival mechanics like hunger, thirst, exhaustion, and immunity. Every choice has consequences, and the game is designed to be a tense, high-stakes experience where you cannot save everyone.

Pathologic 2

Pathologic 2 Thumbnail
starstarstarstarstar_half(8 Ratings)$34.99Survival, Horror RPG, Adventure, Indie

Pathologic 2 is a narrative-driven open-world survival thriller set in a remote town gripped by a deadly plague. You play as Artemy Burakh, a surgeon known as the Haruspex, returning to his childhood home only to find his father murdered and the town collapsing into madness. You have 12 days to save as many people as possible, including your 'Bound' circle of friends, while managing brutal survival mechanics like hunger, thirst, exhaustion, and immunity. Every choice has consequences, and the game is designed to be a tense, high-stakes experience where you cannot save everyone.

business Dev: Ice-Pick Lodgeprint Pub: tinyBuildevent Rel: update Upd:

Themes

Existential HorrorSurrealismMedical EthicsTragedySacrificeFolk LorePostmodernism
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Pathologic 2 Key Specifications

Key Specifications for Pathologic 2
Specification Detail
Engine Unity
Genre Survival, Horror RPG
Initial Release 2019-05-23
Developer Ice-Pick Lodge
Publisher tinyBuild
Setting Town-on-Gorkhon (Industrial/Steppe hybrid)
Perspective First-Person
Platforms PC, PS4, Xbox One
Multiplayer Single-Player Only
Unique Feature Time-sensitive narrative where choices result in the permanent death of key characters.

info_outline Note: Official PC system requirements. The game is known for its heavy atmospheric density and requires an SSD for the best experience to minimize stuttering between districts.

laptop_windows Laptop Performance Note: Laptop performance is heavily dependent on cooling. **Modern mid-range laptops (RTX 3060 Mobile / RTX 4050 Mobile) are recommended for a stable 60 FPS at high settings.**

info_outline GPU TGP: Moderate; the game relies more on lighting and atmospheric effects than high-speed action.

info_outline Cooling Thermals: The Unity engine's simulation of thousands of NPCs can cause the CPU to run hot.

info_outline CPU Power Limits: A strong multi-core mobile CPU is helpful for managing the AI-driven town economy and plague simulation.

info_outline MUX Switch Optimus: Recommended but not critical for this style of slow-burn survival.

build Optimization Note: Does not natively support DLSS/FSR in the base build, but external wrappers can be used. Volumetric Lighting and Particle effects (plague clouds) are the most demanding settings.

computer

Pathologic 2 System Requirements

1080p

tune Minimum – Low/Medium Preset, 1080p

memory
CPU: i3 (modern) / AMD Phenom II (Baseline for the survival simulation.)
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Laptop CPU: Intel Core i5-9300H / AMD Ryzen 5 3550H (Standard entry-level mobile CPUs.)
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GPU: NVIDIA GeForce GTX 960 / AMD Radeon R9 280 (Minimum to handle the game's heavy fog and textures.)
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Laptop GPU: NVIDIA GeForce GTX 1050 Mobile / GTX 1650 Mobile. (Typical budget gaming laptop GPUs.)
storage
RAM: 8 GB (Minimum standard for modern survival titles.)
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Storage: 25 GB HDD (HDD supported, but SSD is preferred.)

tune Recommended – High Preset, 1080p

memory
CPU: Intel Core i7 / AMD Ryzen 7 (Ensures stability during heavy plague events.)
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Laptop CPU: Intel Core i7-11800H / AMD Ryzen 7 5800H (High-performance mobile processors.)
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GPU: NVIDIA GeForce GTX 1080 / RTX 2060 (Recommended for high fidelity in the Town-on-Gorkhon.)
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Laptop GPU: NVIDIA GeForce RTX 3060 Laptop (High TGP). (Strong mid-range mobile performance.)
storage
RAM: 16 GB (Recommended for consistent framerates.)
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Storage: 25 GB SSD (SSD mandatory for recommended performance.)

laptop_mac

Pathologic 2 Laptop Recommendations

MSI Pulse GL66 with RTX 3070 and i7 12th Gen more_vert

memory Intel Core i7-12700H

developer_board NVIDIA GeForce RTX 3070 140W

storage 32GB DDR4-3200MHz

US $1349

Details close

Model: MSI Pulse GL66 with RTX 3070 and i7 12th Gen

memory CPU: Intel Core i7-12700H (Score: 900)

developer_board GPU: NVIDIA GeForce RTX 3070 (Score: 6600) @ 140W TGP

storage RAM: 32GB DDR4-3200MHz

save Storage: 1000GB NVMe

desktop_windows Display: 1920 x 1080 (FHD)

Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).

Acer Nitro V with RTX 4060 and i9 13th Gen more_vert

memory Intel Core i9-13900H

developer_board NVIDIA GeForce RTX 4060 140W

storage 16GB DDR5-5200MHz

US $999

Details close

Model: Acer Nitro V with RTX 4060 and i9 13th Gen

memory CPU: Intel Core i9-13900H (Score: 1058)

developer_board GPU: NVIDIA GeForce RTX 4060 (Score: 6700) @ 140W TGP

storage RAM: 16GB DDR5-5200MHz

save Storage: 512GB NVMe

desktop_windows Display: 1920 x 1080 (FHD)

Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).

Lenovo Legion Pro 5i (i9-14900HX, RTX 4060) more_vert

memory Intel Core i9-14900HX

developer_board NVIDIA GeForce RTX 4060 140W

storage 32GB DDR5-5600MHz

US $1749

Details close

Model: Lenovo Legion Pro 5i (i9-14900HX, RTX 4060)

memory CPU: Intel Core i9-14900HX (Score: 1200)

developer_board GPU: NVIDIA GeForce RTX 4060 (Score: 6700) @ 140W TGP

storage RAM: 32GB DDR5-5600MHz

save Storage: 2000GB NVMe

desktop_windows Display: 2560 x 1600 (WQXGA)

Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).

Asus Rog Strix Scar 15 with RTX 3070 Ti and i9 12th Gen more_vert

memory Intel Core i9-12900H

developer_board NVIDIA GeForce RTX 3070 Ti 150W

storage 16GB DDR5-4800MHz

US $1397

Details close

Model: Asus Rog Strix Scar 15 with RTX 3070 Ti and i9 12th Gen

memory CPU: Intel Core i9-12900H (Score: 1030)

developer_board GPU: NVIDIA GeForce RTX 3070 Ti (Score: 7100) @ 150W TGP

storage RAM: 16GB DDR5-4800MHz

save Storage: 1000GB NVMe

desktop_windows Display: 2560 x 1440 (QHD)

Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).

HP Victus 15 with RTX 3050 and i5 12th Gen more_vert

memory Intel Core i5-12450H

developer_board NVIDIA GeForce RTX 3050 75W

storage 16GB DDR4-3200MHz

US $645

Details close

Model: HP Victus 15 with RTX 3050 and i5 12th Gen

memory CPU: Intel Core i5-12450H (Score: 628)

developer_board GPU: NVIDIA GeForce RTX 3050 (Score: 7220) @ 75W TGP

storage RAM: 16GB DDR4-3200MHz

save Storage: 1000GB NVMe

desktop_windows Display: 1920 x 1080 (FHD)

Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).

Acer Nitro 5 with RTX 3050 Ti and i5 12th Gen more_vert

memory Intel Core i5-12500H

developer_board NVIDIA GeForce RTX 3050 Ti 80W

storage 16GB DDR4-3200MHz

US $710

Details close

Model: Acer Nitro 5 with RTX 3050 Ti and i5 12th Gen

memory CPU: Intel Core i5-12500H (Score: 633)

developer_board GPU: NVIDIA GeForce RTX 3050 Ti (Score: 7220) @ 80W TGP

storage RAM: 16GB DDR4-3200MHz

save Storage: 512GB NVMe

desktop_windows Display: 1920 x 1080 (FHD)

Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).

ASUS TUF A15 with RTX 3050 and Ryzen 7 more_vert

memory AMD Ryzen 7 7435HS

developer_board NVIDIA GeForce RTX 3050 75W

storage 32GB DDR5-4800MHz

US $799

Details close

Model: ASUS TUF A15 with RTX 3050 and Ryzen 7

memory CPU: AMD Ryzen 7 7435HS (Score: 1655)

developer_board GPU: NVIDIA GeForce RTX 3050 (Score: 7220) @ 75W TGP

storage RAM: 32GB DDR5-4800MHz

save Storage: 1000GB NVMe

desktop_windows Display: 1920 x 1080 (FHD)

Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).

ASUS ROG Strix G15 with RTX 3060 and Ryzen 7 more_vert

memory AMD Ryzen 7 6800H

developer_board NVIDIA GeForce RTX 3060 140W

storage 16GB DDR5-4800MHz

US $1299

Details close

Model: ASUS ROG Strix G15 with RTX 3060 and Ryzen 7

memory CPU: AMD Ryzen 7 6800H (Score: 880)

developer_board GPU: NVIDIA GeForce RTX 3060 (Score: 7448) @ 140W TGP

storage RAM: 16GB DDR5-4800MHz

save Storage: 1000GB NVMe

desktop_windows Display: 1920 x 1080 (FHD)

Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).

ASUS ROG Zephyrus G15 Ultra with RTX 3080 and Ryzen 9 more_vert

memory AMD Ryzen 9 5900HS

developer_board NVIDIA GeForce RTX 3080 100W

storage 16GB DDR4-3200MHz

US $1489

Details close

Model: ASUS ROG Zephyrus G15 Ultra with RTX 3080 and Ryzen 9

memory CPU: AMD Ryzen 9 5900HS (Score: 820)

developer_board GPU: NVIDIA GeForce RTX 3080 (Score: 7904) @ 100W TGP

storage RAM: 16GB DDR4-3200MHz

save Storage: 1000GB NVMe

desktop_windows Display: 2560 x 1440 (QHD)

Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).

MSI Katana 15 with RTX 4070 more_vert

memory Intel Core i7-13620H

developer_board NVIDIA GeForce RTX 4070

storage 16GB DDR5-4800MHz

US $1350

Details close

Model: MSI Katana 15 with RTX 4070

memory CPU: Intel Core i7-13620H (Score: 843)

developer_board GPU: NVIDIA GeForce RTX 4070 (Score: 8700)

storage RAM: 16GB DDR5-4800MHz

save Storage: 1000GB NVMe

desktop_windows Display: 2560 x 1440 (QHD)

Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).

  • Core Requirements

  • desktop_windowsOperating System: Windows 7 / 8 / 10 (64-bit)

    64-bit operating system required.

  • memoryDirectX: Version 11

    Required for the game's volumetric lighting and shaders.

  • save_altStorage Note: 25 GB available space (SSD Strongly Recommended)

    An SSD significantly reduces loading times when crossing between town districts.

settings_applications Optimization Notes:

Upscaling: Does not natively support DLSS/FSR in the base build, but external wrappers can be used.

Key Settings: Volumetric Lighting and Particle effects (plague clouds) are the most demanding settings.

map

Pathologic 2: Map Size and Regions

The Town-on-Gorkhon is a sprawling, atmospheric urban environment divided into three sections: The Earth (slums/working class), The Knots (residential), and The Stone Yard (elites). Surrounding the town is the vast, mystical Steppe and landmarks like the Abbatoir and the Polyhedron.

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Pathologic 2: Post-Launch Content / DLC

The Marble Nest DLC (standalone expansion). Future routes for the Bachelor and Changeling were originally planned, with Pathologic 3 recently announced to fulfill the Bachelor's story.

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Pathologic 2 Skills & Upgrades Overview

There is no traditional XP system. Progression is based on inventory management and surgical skill. You upgrade your clothing for better protection against infection and physical damage, and you upgrade your lab to brew more potent tinctures and antibiotics using organs harvested from corpses.

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Pathologic 2: Game Editions

Standard Edition includes the main Haruspex route. The 'Marble Nest' DLC provides a standalone story following the Bachelor's perspective in a localized district.

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Pathologic 2: Cross-Platform / Crossplay

Single-player only. Available on PC, PlayStation 4, and Xbox One.

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Pathologic 2 Specific Game Elements

security

Pathologic 2 Weapons

  • security
    Revolver (Ranged)

    High damage but rare ammo; prone to breaking if not maintained.

  • security
    Scalpel (Melee / Tool)

    Used for both combat and performing autopsies on the deceased.

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Pathologic 2 Vehicles

  • directions_car
    The Boatmen (Travel Service)

    Ferrymen who navigate the Gorkhon river, allowing fast travel between districts for a price (fingernails/coins).

pets

Pathologic 2 Animals / Creatures

  • pets
    Steppe Bulls (Bovine)

    Role: Sacred creatures of the Kin, essential for certain rituals and lore.

person

Pathologic 2 Characters

  • person
    Artemy Burakh - Playable Protagonist (playable)

    A surgeon returning home, struggling to fulfill his father's legacy.

  • person
    Mark Immortell - Theater Director (npc)

    A meta-character who directs the 'play' and taunts the player upon death.

Top 3 Characters:

person
Artemy

Burakh (Haruspex): The protagonist, a surgeon and outcast. 2. Daniil Dankovsky (Bachelor): A rival physician from the capital. 3. Clara (Changeling): A mysterious girl rumored to perform miracles or cause the plague.

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Pathologic 2 Missions / Objectives

  • flag
    Find a Vaccine (Story Goal)

    Objective: Collect infected tissue and mix it with tinctures to create a functional cure.

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    The Funeral (Main Quest)

    Objective: Say goodbye to your father and establish your place in the town's social hierarchy.

Top 3 Missions/Objectives:

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Save

the Bound: Ensuring your circle of essential NPCs survives the 12-day plague. 2. Brew a Panacea: The ultimate medical goal of creating a cure for the Sand Pest. 3. Survive the Night: Managing hunger, exhaustion, and health while avoiding muggers and plague clouds.

group

Pathologic 2 Companions / Summons

  • group
    The Bound (Human)

    Ability: Provide lore, items, and quests, but their death limits your story options.

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Pathologic 2 Collectibles

  • collections_bookmark
    Shiny Rocks / Coins

    Location/Use: Looted from bins or traded with children.

Top 3 Collectibles:

collections_bookmark
Herbs

(Swee, Blood-tallow, etc.): Found in the steppe, used for brewing. 2. Organs: Harvested from bodies to create powerful vaccines. 3. Lore Documents: Letters and notes that explain the town's complex history.

shield

Pathologic 2 Armor

  • shield
    Protective Clothing

    Focus/Stats: Gloves, Boots, and Cloaks that increase immunity to the plague and resistance to knives/bullets.

checkroom

Pathologic 2 Clothing / Appearance

  • checkroom
    Medical Mask / Apron

    Details: Can be repaired at workbenches to maintain protective stats against the infection.

more_horiz

Pathologic 2 Other Features & Info

  • label
    Multiplayer Modes

    Strictly single-player. The game's oppressive atmosphere is built on the player's personal isolation and desperation.

  • label
    Story and Setting

    You return to your hometown, the remote Town-on-Gorkhon, to take over your father's medical practice. The town is divided between the industrialist 'Utopians,' the traditionalist 'Kin' of the steppe, and the ruling families. A lethal epidemic, the Sand Plague, breaks out on Day 3. You must uncover the secret behind the plague while clearing your name of your father's murder.

  • label
    The Haruspex's Lab

    A central mechanic where you use a specialized still to mix 'Tinctures' from steppe herbs and 'Antibiotics' from biological samples. You can also perform autopsies to gather organs for research or trade.

  • label
    Top 3 Gameplay Mechanics
    1. 1. The 12-Day Clock: Time moves in real-time; you cannot be everywhere at once, forcing you to choose who lives and who dies. 2. Brutal Survival: Constant management of hunger, exhaustion, and immunity where failure leads to death or permanent debuffs. 3. Tincture Brewing & Surgery: A deep medical system involving herbalism and organ harvesting to combat the infection.
help_outline

Pathologic 2 Frequently Asked Questions

  • help_outline Is Pathologic 2 a remake of the first game?
    It is a reimagining of the Haruspex's route from the original 2005 game, featuring updated mechanics, graphics, and expanded lore.
  • help_outline Can you save everyone?
    Technically possible but extremely difficult; the game is designed for players to fail and live with the consequences.
  • help_outline What happens when you die?
    The Theater Director, Mark Immortell, applies permanent penalties to your character, such as reduced maximum health or inability to hug NPCs.