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Pathologic 3 is a psychological horror and adventure game developed by Ice-Pick Lodge and published by HypeTrain Digital. It was released on January 9, 2026 for PC and PlayStation 5, and the Xbox Series X|S version followed on January 23, 2026.

You play Daniil Dankovsky, a physician and researcher who comes to a remote town in the eastern steppe looking for a man said to be immortal. A deadly plague breaks out, the immortal man dies, and you fail to stop the outbreak. The game then sends you back to the start with 12 days to save the town.

Medicine is your main tool. You examine sick townspeople face to face, separate real symptoms from lies, and make diagnoses that move you closer to a vaccine. Each patient is a small mystery with a story of their own.

You also govern the crisis. Decrees let you enforce quarantines, confiscate medicine, vaccinate people, deploy patrols, and set curfews. These choices shape the town, even if residents come to hate you. When a choice goes badly, you can travel back in time and try a different path.

Your mental state matters too. Falling into apathy or mania changes how you act and how you read events. Pathologic 3 is a single-player game that suits players who enjoy dense stories, moral dilemmas, and unusual horror that values pressure over jump scares.

Which version should you buy?

• PC: PC keys usually activate on Steam. The game needs a 64-bit OS and about 25 GB of storage, with an SSD recommended.

• Consoles: PS5 codes redeem on PlayStation Network and Xbox codes on a Microsoft account. There is no PS4 or Xbox One version.

• Series: Pathologic 3 follows a different protagonist from Pathologic 2, which is sold as a separate game.

Before you buy, check the activation platform and region on each offer, then follow our guide on how to activate your CD key. For full store details, see Pathologic 3 on Steam.