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Pathologic 3
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Pathologic 3 is a psychological horror game in which you play Daniil Dankovsky, a rationalist doctor trying to defeat death itself as the same doomed town collapses around him. It is a standalone follow-up to Pathologic 2 and a reimagining of the Bachelor route from the original Pathologic, rather than a direct sequel or prequel. Its major new distinction is time manipulation: the premise remains a 12-day plague crisis, but the Bachelor can revisit and alter key events, reflecting his obsession with control, causality, and conquering death.
PlayStation 5 · Jan 9, 2026
Worldwide · Exact date · Full release · IGDB
PC (Microsoft Windows) · Jan 9, 2026
Worldwide · Exact date · Full release · IGDB
Xbox Series X|S · Jan 23, 2026
Worldwide · Exact date · Full release · IGDB
Catalog sources
72 achievements available.
Hidden until unlockedSteam
Find all traces of the terrible woman
LockedSteam
Show tact toward one who does not wish to know the details
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Acquit everyone at the trial on the Seventh Day
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Selflessly delight Eva
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Share what you have witnessed
LockedSteam
Receive a farewell gift from a young lady
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Release the canary from the mine
LockedSteam
Take the White Vaccine
LockedSteam
Witness the worst fate of the ataman and the ruler
LockedSteam
Determine the medical nature of the Sand Plague
LockedSteam
Issue all aesthetic decrees in a single day
LockedSteam
Receive a finger
LockedSteam
Hidden until unlockedSteam
Hidden until unlockedSteam
Hidden until unlockedSteam
Hidden until unlockedSteam
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Hidden until unlockedSteam
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Enter the Room of Mirrors for the first time
LockedSteam
Hidden until unlockedSteam
Hidden until unlockedSteam
Defeat a grandmaster at chess
LockedSteam
Come up with every possible decree
LockedSteam
Work in the hospital with every possible assistant
LockedSteam
Attempt to warn Victor of his fate
LockedSteam
Enter Simon’s study
LockedSteam
Truly enter Simon’s study
LockedSteam
Complete a false ritual and receive real consequences
LockedSteam
Repair an Amalgam vessel in the Cathedral three times
LockedSteam
Witness the Haruspex become the last of his circle of friends
LockedSteam
Try to save your ally in every possible way
LockedSteam
Fill every prison cell on the Tenth Day
LockedSteam
Negotiate a generous exchange instead of just receiving what you needed for free
LockedSteam
Hidden until unlockedSteam
Receive the Kin’s gratitude for what was requested
LockedSteam
Witness how a witless creature comes to understand the sky
LockedSteam
Witness the young lockpicker’s work three times
LockedSteam
Try to save your enemy in every possible way
LockedSteam
Dissuade the Inquisitor from experimenting on a servant
LockedSteam
Perform euthanasia in the morgue
LockedSteam
Tell fairy tales to children three times
LockedSteam
Hidden until unlockedSteam
Adorn the Stillwater with a new pet
LockedSteam
Learn all recipes
LockedSteam
See something that was hidden by looking through a shard of stained glass
LockedSteam
Hidden until unlockedSteam
Slip a walnut shell into a young princess’s bed
LockedSteam
Remain in the wondrous study forever
LockedSteam
Hidden until unlockedSteam
Win in a bargain with Death itself
LockedSteam
Eradicate the shabnak once and for all
LockedSteam
Touch Simon Kain’s palm
LockedSteam
Violate the integrity of the earth three times
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Open the hospital
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Remember forever the face of a thing unrequired
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…Actually save her
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Smash the microscope
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Gather all assistants who can move to the Stillwater
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Find common ground with the other protagonists
LockedSteam
Hidden until unlockedSteam
Hidden until unlockedSteam
Destroy the cure for the plague without ever learning its properties
LockedSteam
Personally accuse Isidor Burakh’s murderer
LockedSteam
Make every diagnosis correctly
LockedSteam
Scry the truth from the heart of the living bride
LockedSteam
Community notes
