Screenshots & trailers
Review sentiment over time
Weekly positive-review rate (green) and review volume (bars). Dashed lines mark significant patches; the amber line is the start of the current scoring window. Hover the dots to see what drove a dip or a jump.
How this score was computed
The VGC Score is a weighted blend on a press-comparable 0-100 quality scale. Steam approval rates are first calibrated (95% positive on Steam ≈ 89.5 quality, since Steam approval skews high). Press and tracked creator reviews each count ~2x a player review and share one cap against player evidence (creator buy/skip calls pool into an approval rate, calibrated like Steam approval); all-time sentiment is capped and halved (it's context, not verdict); reviews of the current build carry the most weight when a fresh patch anchors the window; and a 'typical game' prior keeps small samples from pegging the scale. Because press reviews and Metacritic user aggregates describe the launch build, their weight decays as the game ages (3-year half-life after a 1-year grace). That's how a game that launched rough can outgrow its old reception once updates win players over. Reviews under 2h playtime (the refund window), non-Steam activations, and free copies are downweighted.
| Component | Positive | Quality (0-100) | Weight (pseudo-reviews) |
|---|---|---|---|
| Press reviews (OpenCritic) | – | 77 | 50 |
| All-time Steam reviews | 80% | 74 | 1000 |
| Metacritic user ratings | – | – | 0 |
| Post-patch Steam reviews (trust-weighted) | 73% | 69 | 158 |
| Calibration prior (typical game) | – | 72 | 50 |
Scoring window: since the last significant patch (Jun 25, 2026) · 158 reviews sampled · 152 total reviews in window · weighted 98.2 up / 36.7 down · computed 2h ago · full methodology →
Press & Creators reviews (25)
Individual verdicts from outlets we track: scored reviews first, most trusted outlets first among them. The small badge is each outlet's trust score: how well its scoring history aligns with players.
- 85
“Pathologic 3 is a triumph of narrative design and atmospheric horror. It successfully reinvents the wheel for its third outing, creating a gameplay loop that is distinct from the previous entries while remaining true to the soul of the franchise. It is a game that respects the player's intelligence, refusing to hold your hand as you navigate a web of lies, disease, and time travel. While the segmented map and the sometimes tedious Mania/Apathy mechanics may alienate purists of Pathologic 2's open-world survival model, the shift toward "Doctor Simulation" and town management offers a fresh and arguably more intellectually engaging challenge. It is a masterpiece made with love, but one that requires patience, both for its slow-burn horror and its technical jank., Flare”
read full review ↗ - 75
“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.”
read full review ↗ - 75
“Some of the Pathologic 3 mechanics are really inventive and captivating, but the overall gameplay will drain you out.”
read full review ↗ - 80
“With that said, the Pathologic series has always demanded tolerance for a certain level of frustration because the payoff is so splendid, and in this regard, the third game is no exception. Intricately plotted and atmospheric, Pathologic 3’s great achievement is its reexamination of the series from a new perspective, with sweeping changes to the core that are as bold and ambitious as they are a totally natural extension of the new protagonist. It doesn’t match its predecessor’s level of tension, but in many ways it’s even more immersive and detailed. Not only does the Town-on-Gorkhon still make for one of the medium’s most transportive settings, but Daniil Dankovsky emerges as one of the medium’s richest protagonists.”
read full review ↗ - 85
“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.”
read full review ↗ - 75
“"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."”
read full review ↗ - 80
“Pathologic 3 is like a roller coaster ride that first tires you out, then disgusts you, but ultimately fills you with pure wonder. It's not a game for everyone. The main protagonist may not be a likable companion, but his fight against death is one of the solid stories you'll remember for a while.”
read full review ↗ - 20
“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.”
read full review ↗ - 80
“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.”
read full review ↗ - 80
“Intentionally and unintentionally thorny, but still one of the most compelling mystery adventures since Disco Elysium.”
read full review ↗ - 90
“Pathologic 3 is a bold reinvention of the cult classic survival horror. By shifting the focus from physical survival to medical investigation and time manipulation, Ice-Pick Lodge has created a cerebral, haunting masterpiece. While technical hiccups persist, the narrative depth and the unique "Doctor Simulator" mechanics make it an essential experience for fans of atmospheric horror.”
read full review ↗ - 80
“Defying all traditional game design conventions like its predecessors, Pathologic 3 offers a consistently compelling journey of morality in the face of death.”
read full review ↗
TheBigBois
TheReviewGeek
3DNews
Slant Magazine
GRYOnline.pl
The GameSlayer
SECTOR.sk
MonsterVine
Game8
PC Gamer
Pixel Arts
GamingBolt…and 13 more tracked reviews.
Patch history
- Pain, Difficulty, Shabnak, and Other Topics: A Pathologic 3 UpdateJun 25, 2026significant · resets scoring window
- Update #6Mar 17, 2026significant · resets scoring window
- Update #5Mar 2, 2026
- Update #4Feb 20, 2026
- Hotfix #11Feb 11, 2026
- Hotfix #10Feb 6, 2026
- Hotfix #9Feb 4, 2026significant · resets scoring window
- Update #3Jan 30, 2026significant · resets scoring window
- Hotfix #8Jan 28, 2026significant · resets scoring window
- Update #2Jan 23, 2026
- Hotfix #7Jan 21, 2026
- Hotfix #6Jan 20, 2026
- Pathologic 3 Update #1Jan 16, 2026
- Our plansJan 16, 2026significant · resets scoring window
- Hotfix #5Jan 15, 2026
- Hotfix #4Jan 13, 2026
- Hotfix #3Jan 12, 2026
- Hotfix #2Jan 11, 2026
- Hotfix #1Jan 10, 2026
- Demo Hotfix 1Oct 14, 2025