Pathologic 3 Gameplay Video
Pathologic 3 Key Specifications
| Specification | Detail |
|---|---|
| Engine | Unity |
| Genre | Horror RPG, Immersive Sim |
| Initial Release | 2026-01-09 |
| Developer | Ice-Pick Lodge |
| Publisher | HypeTrain Digital |
| Setting | Town-on-Gorkhon (Steppe Frontier) |
| Perspective | First-Person |
| Platforms | PC, PlayStation 5, Xbox Series X|S |
| Multiplayer | Single-Player Only |
| Unique Feature | Non-chronological 'Rewriting History' time travel and Systematic Medical Diagnosis simulator. |
Pathologic 3 System Requirements
1080p
tune Minimum – Medium Preset, 1080p ~30 FPS
tune Recommended – High Preset, 1080p ~60 FPS
Pathologic 3 Laptop Recommendations
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Core Requirements
- desktop_windowsOperating System: Windows 10/11 (64-bit)
64-bit operating system required for modern memory management.
- memoryDirectX: Version 11
Standard DX11 support for advanced Unity shader features.
- save_altStorage Note: 30 GB available space (SSD Highly Recommended)
SSD is critical to eliminate loading stutters during non-linear narrative jumps.
Pathologic 3: Map Size and Regions
The game features the Town-on-Gorkhon, a 'Town on the Edge' consisting of several isolated districts. Navigation is hindered by plague clouds ('black whirlwinds') and civil unrest. The game features a new fast travel system between districts, though it is blocked if a district is heavily infected.
Pathologic 3: Post-Launch Content / DLC
Release plans for additional routes (Haruspex or Changeling) as potential DLC have been discussed but not confirmed. Kickstarter backers receive the game and all initial sequel content for free.
Pathologic 3 Skills & Upgrades Overview
Traditional leveling is replaced by 'Mind Map' progression and 'Amalgam' resource management. Players collect Amalgam by shattering mirrors or completing quests to fuel time jumps. Dictatorial powers are earned by completing tasks, allowing the player to issue town-wide ordinances that change the social and physical landscape.
Pathologic 3: Cross-Platform / Crossplay
Single-player only. Cross-platform cloud saves are supported via HypeTrain Digital accounts between PC, PS5, and Xbox Series X|S.
Pathologic 3 Specific Game Elements
Pathologic 3 Weapons
- security
Pistol / Scalpel (Improvised Defense)
Used as a last resort against rioters or terminal patients, though combat significantly affects the Apathy/Mania meter.
- security
Plague Dispersal Device (Technological Gadget)
A prototype device carried by Dankovsky that can temporarily disperse plague clouds for safer traversal.
Pathologic 3 Vehicles
- directions_car
None (N/A)
Navigation is primarily on foot or via the fast travel district system.
Pathologic 3 Animals / Creatures
- pets
Steppe Fauna (Various)
Role: Mystical creatures of the eastern steppe that inhabit the fringes of the town.
Pathologic 3 Characters
- person
Daniil Dankovsky - Playable Protagonist (playable)
A man of science and high society, desperate to uncover the secret to immortality and stop the Sand Pest.
Top 3 Characters:
Dankovsky (The Bachelor): The brilliant but arrogant physician protagonist and unreliable narrator. 2. The Townspeople: Viewed by Dankovsky as data points, they remember previous timelines in their own ways. 3. The Interrogator: An off-screen figure to whom Dankovsky is justifying his actions throughout the non-linear narrative.
Pathologic 3 Missions / Objectives
- flag
(Medical)
Objective: Examine patients face-to-face and cross-reference symptoms to reach a correct diagnosis.
- flag
Interrogation Defense (Story)
Objective: Justify your past actions through the 12-day epidemic to a mysterious interrogator.
Top 3 Missions/Objectives:
the Sand Plague: The overarching 12-day goal to prevent the town's total annihilation. 2. Secure Immortality: Investigating rumors of the centenarian man to fulfill Dankovsky's original scientific mission. 3. Manage the Hospital: A daily objective to set up a medical facility and correctly identify what ails the town's elites.
Pathologic 3 Companions / Summons
- group
The Elites (Human)
Ability: Provide political protection and dictatorial powers to the Bachelor.
Pathologic 3 Collectibles
- collections_bookmark
Mind Map Connections
Location/Use: Mental UI / World interaction
Top 3 Collectibles:
The essential resource for fueling time travel, gathered by completing quests or shattering mirrors. 2. Diagnosis Data: Symptom checklists gathered from examining townspeople to help develop a vaccine. 3. Mirror Shards: Found hidden throughout the town, these provide one-time jump points in the narrative web.
Pathologic 3 Armor
- shield
Physician's Coat
Focus/Stats: Provides social authority among the town's elites; can be reinforced against airborne plague infection.
Pathologic 3 Clothing / Appearance
- checkroom
Physician Attire
Details: Reflects the Bachelor's status as an educated outsider from the capital.
Pathologic 3 Other Features & Info
- labelMultiplayer Modes
Strictly single-player. The game's metanarrative often directly addresses the individual player to create a sense of isolation and moral responsibility.
- labelStory and Setting
Set in the remote Town-on-Gorkhon during a 12-day outbreak of the 'Sand Plague.' The player assumes the role of Daniil Dankovsky (The Bachelor), who arrives seeking a man who has lived for centuries but finds himself defending his failed actions in an interrogation. The narrative is non-chronological, allowing players to revisit Days 1-12 to uncover the origins of the plague and the secret to immortality.
- labelThe Time Manipulation System
A transformative mechanic where time is treated as a tool. Using shattered mirrors and Amalgam, Dankovsky can jump back to previous days (e.g., from Day 5 back to Day 3) to witness different outcomes or save characters, with changes rippling forward to create an altered reality.
- labelSystematic Medical Gameplay
A dedicated doctor simulator involving face-to-face patient interviews and physical examinations. Patients may lie or omit details, forcing the player to investigate their homes for 'red herrings' to reach a correct diagnosis and eventually craft a functional vaccine.
- labelTop 3 Gameplay Mechanics
- 1. Rewriting History: A tool-based time-travel system where logical linked events can be altered through jumps back to previous days. 2. Apathy vs. Mania Scale: A psychological state meter replacing hunger/thirst; too much apathy leads to suicide, while mania allows high-speed movement but causes heart attacks. 3. Ordinance System: Dictatorial powers that allow players to enforce town-wide rules like curfews or confiscations at the cost of civil unrest.
Pathologic 3 Frequently Asked Questions
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help_outline Is Pathologic 3 a remake or a sequel?It is a standalone sequel and rebirth. While it focuses on the Bachelor route originally planned for Pathologic 2, it is a mechanically and narratively distinct standalone game.
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help_outline Does it have the survival meters from Pathologic 2?No. Pathologic 3 removes hunger and thirst meters, replacing them with a psychological scale between Apathy and Mania.
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help_outline How does time travel work?Players use 'Amalgam' to jump between different points in the 12-day narrative web to witness outcomes and change logic-linked events.