I have been posting about this one for a bit now. I can't wait to play the full game!
January 9, 2026 | HypeTrain Digital and Ice-Pick Lodge are excited to announce the Steam release of Pathologic 3, the long-awaited next entry in the cult series known for its uncompromising narrative, surreal atmosphere, and experimental game design.
In Pathologic 3, players take on the role of Daniil Dankovsky, a brilliant physician and researcher obsessed with the nature of death. Drawn to a remote town in the eastern steppe in search of an immortal man, Dankovsky arrives just as a deadly plague begins to spread. With only 12 days to stop the epidemic, every decision matters—and time never stops moving forward.
Developed by Ice-Pick Lodge—award-winning veterans of the industry with over 20 years of history—Pathologic 3 continues the studio’s signature exploration of mortality, power, and responsibility. The game is a standalone story that can be played without prior knowledge, while remaining closely connected to the themes and events of Pathologic 2.
Alongside the release, the team has also recently unveiled a new trailer created in collaboration with Akira Yamaoka, the legendary composer behind Silent Hill, further reinforcing the game’s oppressive atmosphere and psychological tension.
The game combines narrative-driven survival mechanics with a unique approach to time manipulation, allowing players to revisit key moments, rethink their choices, and face new consequences. Medical diagnosis, political authority, and mental stability all play a critical role in determining the town’s fate.
Key Features
- Examine patients face-to-face, uncover lies, and deliver life-or-death diagnoses
- Enforce quarantines, curfews, decrees, and roadblocks to control the outbreak
- Gain—or lose—the trust of townsfolk and the three ruling families
- Fight the plague in the streets and suppress riots as the city collapses
- Use a time-rewind mechanic to return to critical moments and choose differently
- A story-focused single-player campaign with multiple endings
- 30–60 hours of gameplay, depending on playstyle and choices
