Pathologic Review

Pathologic Featured

Pathologic Boxart

Developer: Ice-Pick Lodge
Publisher: Ice-Pick Lodge
Platform: PC – GOG*

Pathologic is one of the strangest games I have ever played. This isn’t due to the content, which is entirely understandable, but because its ability to shift from extremely good to annoyingly difficult in the span of playing for a few hours. This is a game that has earned a lot of acclaim over the years – enough to warrant a Kickstarter-funded remake! Even after finally playing it myself it’s hard to distill my complex reaction into a simple “I love/hate it” response.

Certainly, there’s a lot to love about Pathologic. The game allows you to play as one of three characters (third unlocked after a playthrough) entering into a slowly dying town. A plague has swept the area which leaves no one safe – not even you – from its grip. Visually, the world already looks dead with its desaturated browns, blacks, and greys. You hope to help people survive but that’s a massive task to accomplish.

It’s hard enough to save yourself. This is a survival game in the truest sense where you must think three steps ahead for what you need. Food, medicine, and the like are necessities and not just health boosts. If you can’t buy them you can always attempt to barter with townsfolk… or steal their stuff right out of their homes. There’s not a hyper obvious “good/bad” pathway, but characters will react with hostility, fear, or kindness based off what people are saying about you.

Pathologic Featured

The biggest problem with Pathologic is that it does so much to dissuade you from falling deeper into its world. First, the translation is pretty rough which means an English-speaker simply can’t get the full understanding of what’s going on (and may even be confused). The larger issue is the high barrier to entry for surviving in the game very long at all. Then there’s the combat which is primarily a test of patience than skill.

Despite these issues, Pathologic creates one stunning experience. It was far more innovative in 2005 than many games are today. Its experimentation may not have worked out perfectly, but it’s still a game worth playing. Here’s hoping the remake will fix the original issues without destroying its spirit!


Score: 4

4 out of 5 alpacas


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