Pathologic 2 (2019)

Ice-Pick Lodge

PC (Microsoft Windows) · PlayStation 4 · Xbox One

4.12 from 157 ratings

1631 members have it in their collection · 43 playing now · 1113 backlogged · 217 wish listed

How long? Main story 37h · with extras 56h (from 3 logged playthroughs)

Pathologic 2 is a reimagining of the original, focused on the Haruspex, Artemy Burakh. You return to your plague-stricken hometown as a surgeon-healer caught between local kinship traditions, colonial urban power, impossible medicine, hunger, exhaustion, and a clock that never stops. Compared with the 2005 game, it is more mechanically coherent and cinematic, but still intentionally punishing: you are meant to triage, fail, compromise, and live with irreversible consequences.
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Release dates

  • May 23, 2019 (Full Release) (Worldwide) PC (Microsoft Windows), Xbox One
  • Mar 06, 2020 (Full Release) (Worldwide) PlayStation 4

Related

Bundled in

DLC

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Rating distribution

5 stars
83
4 stars
37
3 stars
15
2 stars
17
1 star
5
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Community All Reviews Statuses

Mazinkaiser

Review Mazinkaiser 5/5 · Jun 23, 2025

Pathologic 2: Down by the River

Pathologic 2 is an intense and unrelenting survival experience, but for those who stick with its world will find an incredibly rich and engaging adventure that everyone has to experience.

Pathologic 2 starts as a remake of one of the routes of the original Pathologic - the Haruspex, a doctor and surgeon known as Artemy Burakh, returns to his hometown …

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Pathologic 2 is an intense and unrelenting survival experience, but for those who stick with its world will find an incredibly rich and engaging adventure that everyone has to experience.

Pathologic 2 starts as a remake of one of the routes of the original Pathologic - the Haruspex, a doctor and surgeon known as Artemy Burakh, returns to his hometown and finds a mysterious plague ravaging the town at an alarming rate. While maintaining hunger, thirst, exhaustion, and immunity/infection levels the player will seek to cure townsfolk, gather supplies, follow mysterious visions, trade with children, and fight for their lives in a dark alley.

The town is comprised of 12 days in several districts - the first couple of days are fairly normal, and subsequent days the districts will cycle between infection, a ravaged post-infection period and back to normal. The player has a "thoughts" tab instead of a quest list, which entertains various places/people to interact with in a thoughtfully modern manner. Instead of quests the player feels they are forced to do the player may entertain their curiosity and see where it will lead them. This is important as the game (especially its "intended difficulty") will make it impossible to do everything and manage supplies, which may result in death (which permanently reduces stats for ALL saves - be careful!) and saving every important character may become a fool's errand.

For the Haruspex-specific version of Pathologic, 2 is very focused on brewing tinctures/serums, giving out medication, and doing surgery. Organs pay a high price in certain markets, herbs brew powerful immunity tinctures, and managing pain is critical to treating the diseased. The mechanics don't feel vague or poorly explained, which is what makes it a wonder that the game is still so tough to manage even as you don't feel like the game is hiding any core mechanics from you.

Why play such a game that feels cryptically designed to subvert your chances of mastery? Without spoiling too much, the dialogue and narrative is the meat of Pathologic 2's game and what makes the game incredibly satisfying to play. Characters are fully fleshed out and have their own arcs which may flexibly be cut short by death, and as the player grapples with plot developments and other discoveries your own quest may also push in a radically different direction.

The visuals are incredible, a higher fidelity boost to the dusty and oppressive Steppe from the first game. Characters feel just as bizarre and intriguing as the original and every drop of blood and dingy brick makes for a very engaging atmosphere. The only thing I would knock Pathologic 2 for (compared to 1) is the soundtrack. After the masterwork of the first game's soundtrack the second takes a much more muted and ambient approach. This makes areas feel less distinct and hides the more impressive tracks deeper in the game.

Pathologic 2 is a game that begs to be played with its difficulty in mind, though settings exist to tone down various survival aspects to be less antagonistic. Pay no mind to the "intended experience" button though, as even the easier difficulties will not give the player enough time to do everything or master the game. It's an enchanting experience with deep mythology and meaningful themes behind the surface-level misery that people will often associate with these kind of games. Even if you can't do a perfect run, the game will still be an amazing trip.

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Moterboot

Status Moterboot Jun 19, 2024

So I played for around 13 hours. I reached the early morning of day 6 before soft-locking myself. See, I tried to be as compassionate to everyone as possible--I know, "idiot!" I cought the palgue earlier in day 5, and dumbass that i was, i though, "well, lemme continue my playthrough as is, i hate save scumming after all." So …

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So I played for around 13 hours. I reached the early morning of day 6 before soft-locking myself. See, I tried to be as compassionate to everyone as possible--I know, "idiot!" I cought the palgue earlier in day 5, and dumbass that i was, i though, "well, lemme continue my playthrough as is, i hate save scumming after all." So i continued, with my health slowly deacreasing and my infection rate steadily rising. When midnight came around, I barely had any health left, and no matter what i did, i kept dying--either by being mugged, the plague getting the better of me, or god forbid starving to death (as i had no money for food). Eventually, the traveler appeared and offered me a deal, one i was al too happy to accept (i know in retrospect, "you weren't supposed to take the deal brendon!")

Anyway, amazing game. My first playthrough ended with Buragh canonically dying of the plague on day 6. Cant wait to start from scatch and being a dick finally from day one.

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Lygodesma

Status Lygodesma Feb 9, 2024

Should I play Pathologic 2 or 1? The visuals of the first part appeal more to me, I like retro grapics. I am not sure.

Ovinnik

Status Ovinnik Sep 8, 2022

Finishing Day 8 with 3 Player deaths and 2 Character deaths. This may be one of the best games I've ever played.

clarketh75

Status clarketh75 Dec 15, 2021

I've given the other two games on my December playlist a fair shake, it's time to see if I can make it to the end of this! It's an interesting world with a mesmerizing philosophy, I'm just hungry all the time...

TheKentuckian

Status TheKentuckian Oct 9, 2021

I bought this game because MandaloreGaming's review of it. The mystery of the story had my interest, but the draconic difficulty often mentioned and the fact the game seems to like doing sorta "soft jumpscares", at least in the intro, has kept me from attempting it.

I could easily turn down all the difficulties to a more Narrative Mode, but …

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I bought this game because MandaloreGaming's review of it. The mystery of the story had my interest, but the draconic difficulty often mentioned and the fact the game seems to like doing sorta "soft jumpscares", at least in the intro, has kept me from attempting it.

I could easily turn down all the difficulties to a more Narrative Mode, but that is considered sacrilege.

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andrewh995

Review andrewh995 5/5 · Aug 16, 2021

Pathologic 2, an artistic masterpiece

There is not a ton I can say about this. I attempted to write a traditional review and it morphed into some kind of impressionist piece (I'll link below). I don't think a traditional review would be possible with how deeply this game affected me (nor would it do the game justice). All I can really say is that if …

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There is not a ton I can say about this. I attempted to write a traditional review and it morphed into some kind of impressionist piece (I'll link below). I don't think a traditional review would be possible with how deeply this game affected me (nor would it do the game justice). All I can really say is that if you are willing to dive deeply into some of the most artistic, bleakest, and most relevant themes that any video game has ever explored, you must play this. It is avant-garde and it is high art. No game I've played has been brave enough to delve so far into the postmodern and experimental realms of fiction. The game won't be for everyone. You have to like experimental art and be willing to suffer through one of the most grueling video games on the market. But if you come out on the other end, I can guarantee your perception of the world will have been changed.

If you want to read my longer piece on the game, check it out at this link, just be warned that it could verge on spoiler territory, but the game isn't really that spoilable: Link

5.00/5.00

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MagiKarp

Status MagiKarp Mar 9, 2021

While playing this game i got a feeling of watching those art-house films from the 1960's. Someone else got those vibes?

Also to admit, this is the only game that i cheated. I was afraid of dying a lot so i used the console commands, shame shame shame shame shame shame shame shame shame. i know. But i dont care …

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While playing this game i got a feeling of watching those art-house films from the 1960's. Someone else got those vibes?

Also to admit, this is the only game that i cheated. I was afraid of dying a lot so i used the console commands, shame shame shame shame shame shame shame shame shame. i know. But i dont care i cheated when i thought it was convenient for me, this game is freaking hard, harder than most games, its hell. But i cheated and i loved it, so i dont care. haha.

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yausern

Review yausern 5/5 · Jan 24, 2021

"Artemy Burakh's tormetous nightmare"

My first contact with Pathologic was through hbomberguy's 2 hour long review/analysis of Pathologic 1 (as one may have guessed from the title and if you have seen the video). He insists that, while he can't in good conscience recommend that anyone play Pathologic 1, he highly recommends Pathologic 2. While the whole thing intrigued me, I never got round …

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My first contact with Pathologic was through hbomberguy's 2 hour long review/analysis of Pathologic 1 (as one may have guessed from the title and if you have seen the video). He insists that, while he can't in good conscience recommend that anyone play Pathologic 1, he highly recommends Pathologic 2. While the whole thing intrigued me, I never got round to playing Pathologic 2 until now since it was included this January's Humble Choice.

Even with the expectations build up, I have to say that I was really impressed. On paper, the game sounds somewhat like a punishment. You play as a surgeon returning to his hometown when a deadly epidemic breaks out. It mainly involves a lot of walking between objectives while managing your time and resources to survive and combat the "sand pest". Playing on the intended (hardest) difficulty level, the survival mechanics constantly keep you on the edge of death and/or infection. The game instills a sense of dread and hopelessness from the very start that builds through the days. I generally go into games wanting to every quest but I had to come to terms after a few days of game time that this time it would not be possible. You can't save everyone... you can barely survive yourself (at least on one's first attempt... I am sure that there are people who have somehow pulled it off). But, even if it is punishing, it all feels very well balanced. You basically have to make diffcult choices in regards to what quests to pursue and who you can and can't save. Even between gaming sessions I would be worried about how I would survive the latest problem presented by the game.

One mechanic worth noting is what happens when you die. It plays into the themes of the meta-game, but every time you die you acquire penalties that persist even when realoading previous saves. Typically these involve lowering your maximum health after each death but there are others. These penalties can only be completely removed by starting a new playthrough. While this seems harsh, it is not quite as bad as it sounds. The penalties are fairly light and manageble to begin with. They only really get bad if one stacks a very large number of deaths. However this adds a certain degree of extra tension since it is technically possible to stack up enough deaths that one can not feasibly progress further.

The writing, characters and story are really interesting. It is very well written but done so in a weird non-conventional way that keeps the whole thing somewhat mysterious and up to interpretation. I can't say that I followed all of it in my single playthrough, though it seems that this is mostly intended. Since it is very difficult to resolve all questlines and still "win" in a single playthrough so repeat playthroughs can reveal more about the world of Pathologic. There are many subplots and themes involved that all fit together with some meta-narrative that, at least for now, is sadly incomplete. The game was originally intended to have the original 3 playable characters from Pathologic 1. However it is unclear if the developer will be able to complete development of these. Don't get me wrong. This not in early access. It is a complete game and fascinating experience. It is just that the developer wanted to do so much more and I just hope they get the chance to do so.

All in all... highly recommended. Very punishing, very hard, but a really fascinating game. I can't wait for the developer to add "Danil Dankovsky's fun steppe vacation"!

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Torgo

Status Torgo Mar 26, 2020

I feel like Pathologic 2 psychologically prepared me for all this. If anyone is looking for a game to play while they're locked away at home, consider checking this one out, it's surreal how closely this mirrors our current circumstances. So much of this covid-19 stuff is mirrored within the game, everything from food shortages, violence, conspiracies, economic impacts, distrust, …

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I feel like Pathologic 2 psychologically prepared me for all this. If anyone is looking for a game to play while they're locked away at home, consider checking this one out, it's surreal how closely this mirrors our current circumstances. So much of this covid-19 stuff is mirrored within the game, everything from food shortages, violence, conspiracies, economic impacts, distrust, quarantine, experimental treatments, travel restrictions, etc. Very eerie, the timing of it all, the coincidences and the stories/themes explored in this game, released so shortly before the outbreak.

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If I get quarantined, I'm going to play Pathologic. :-)

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Torgo

Review Torgo 5/5 · Jan 7, 2020

don't ever play this game

thank god. it's finally over.

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☑️ completed on hardest difficult

☑️ it took 51 hours in total

☑️ completely blind, didn't look at any guides/hints

☑️ pretty sure i got the worst possible ending

☑️ basically everyone in the town died, including all of the important main quest NPCs who i failed to save

☑️ i died about 20 times …

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thank god. it's finally over.

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☑️ completed on hardest difficult

☑️ it took 51 hours in total

☑️ completely blind, didn't look at any guides/hints

☑️ pretty sure i got the worst possible ending

☑️ basically everyone in the town died, including all of the important main quest NPCs who i failed to save

☑️ i died about 20 times (each death increases difficulty. my save file was almost bricked)

☑️ toward the very end i was almost dead with no food, no water, no equipment, and 1% health

☑️ i failed to complete any main purpose of the game (solving the mystery of the town, finding my father's murderer, finding a cure to the plague)

☑️ i'm uninstalling this abomination off my computer. this game is horrible. i'm going to need years of therapy to undo the trauma of playing this game.

☑️ 10/10, this is one of the most profound and rewarding things i've ever experienced. intensely compelling and glorious and disturbing, mysterious, horrible, unrelenting and beautiful.

☑️ don't ever play this game

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Torgo

Status Torgo Jan 2, 2020

I've somehow made it to Day 7! Three more days to go. No idea how I've managed to survive, I'm only hanging on by a thread. Words cannot describe the joy I felt when, on the verge of starvation, I found a half-eaten crust of bread on some guy's corpse near my house. I've died about 8 times, and each …

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I've somehow made it to Day 7! Three more days to go. No idea how I've managed to survive, I'm only hanging on by a thread. Words cannot describe the joy I felt when, on the verge of starvation, I found a half-eaten crust of bread on some guy's corpse near my house. I've died about 8 times, and each time you die, the difficulty increases. So I'm pretty sure my save file is completely bricked at this point, but the show must go on. Not quite sure whether I understand anything about this game but I'm still really enjoying it. I'm looking forward to my second playthrough already, and also keen to go back and try Pathologic 1 again sometime this year..

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This game isn't fun or enjoyable in any sense. It's torture. And I absolutely love it. 😍

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Eerp

Review Eerp 1/5 · Dec 30, 2019

A Survival Mechanics Walking Simulator

I started playing this having no idea what it was or what it was about but after a VERY confusing and odd """tutorial""" I realised it was a one of those survival games, I am not into, mixed with the narrative of a walking simulator, which is a genre I really enoy, mixed together in a morass that I guess …

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I started playing this having no idea what it was or what it was about but after a VERY confusing and odd """tutorial""" I realised it was a one of those survival games, I am not into, mixed with the narrative of a walking simulator, which is a genre I really enoy, mixed together in a morass that I guess I did not "get".

Again, not for me but at least I gave it a few hours and a couple of (in-game) days. I was just frustrated at death and ambiguous direction and uninteresting narrative.

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Torgo

Status Torgo Dec 25, 2019

I'm loving Pathologic 2 so far. I'm not entire sure what's going on, or how to play it, but I guess that's part of the point. The story and atmosphere are intensely compelling. I'm playing on hardest difficulty; may god have mercy on my soul. I think there's a rough road ahead of me. 😂

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I'm loving Pathologic 2 so far. I'm not entire sure what's going on, or how to play it, but I guess that's part of the point. The story and atmosphere are intensely compelling. I'm playing on hardest difficulty; may god have mercy on my soul. I think there's a rough road ahead of me. 😂

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Dionysoss

Status Dionysoss Sep 18, 2019

Decided it would be better to buy this one in stead of forcing myself to play the original, and now I'm absolutely hooked. I guess other games will have to get in line. Why did I think buying a game shortly before two games I'm interested in are released was a good idea?

It's weird though. The game's quite heavy …

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Decided it would be better to buy this one in stead of forcing myself to play the original, and now I'm absolutely hooked. I guess other games will have to get in line. Why did I think buying a game shortly before two games I'm interested in are released was a good idea?

It's weird though. The game's quite heavy in its themes, and difficult too, so I want to take breaks often enough. But then it's also so incredibly compelling in its mystery and intrigue that I can't help but want to play on.

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vodsel

Status vodsel Sep 14, 2019

I am thinking about writing a small chunk of words about the difficulty of Pathologic 2 and the assumption that death = failure to game players. I think the game deserves more attention (even if it is selling decently, and the studio is, somehow marching on), and I believe its difficulty is often misconstrued and hyped up in harmful ways. …

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I am thinking about writing a small chunk of words about the difficulty of Pathologic 2 and the assumption that death = failure to game players. I think the game deserves more attention (even if it is selling decently, and the studio is, somehow marching on), and I believe its difficulty is often misconstrued and hyped up in harmful ways. This would be an exercise in writing out of genre for me, so it is something I really want to do :)

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vodsel

Status vodsel Sep 9, 2019

Finished Pathologic 2 last night. Fully convinced this is one of the best games I have ever played, one of the best of the decade (time to make those lists, btw)! One of those pieces of art that are just pleasurable to think about and admire their construction even without looking at it, or playing it.

Now I am curious …

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Finished Pathologic 2 last night. Fully convinced this is one of the best games I have ever played, one of the best of the decade (time to make those lists, btw)! One of those pieces of art that are just pleasurable to think about and admire their construction even without looking at it, or playing it.

Now I am curious to play the Bachelor in the original Pathologic, since he is not included in Pathologic 2 yet.

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vodsel

Status vodsel Sep 7, 2019

Spent a few hours last night trying to survive the events of day 7. I was able to, but what did it cost me? Too much.