Metascore
79

Generally favorable reviews - based on 23 Critic Reviews

Critic score distribution:
  1. Positive: 20 out of 23
  2. Negative: 1 out of 23
  1. Feb 10, 2026
    70
    Pathologic 3 is a psychological horror game for a select few, a niche title that requires nothing short of divine patience to progress through its events. As if that weren’t enough, it also introduces time travel, which could have opened the door to even more rewarding narrative developments, had it not been implemented so sparingly. We found ourselves facing a demanding, strange, and difficult production, with an absolutely complex plot. The lack of Italian localization makes it even less of a game suitable for everyone. However, if you manage to overlook some issues, the overall experience isn’t that bad, especially thanks to convincingly written characters. Who do we recommend it to? Certainly to longtime fans of the franchise (even though they will notice some differences compared to the previous installment) and to those looking for a true horror challenge with strong narrative depth. That said, you may also experience moments of frustration and discouragement: you’ve been warned.
  2. Jan 15, 2026
    70
    Pathologic 3 is about disease and friction and difficult choices. It is not a game for everyone, and it doesn’t try to be. It’s demanding and deliberately obscure, and asks you to embrace failure as part of its teaching method; that will put people off. But for those willing to meet it on its terms, it offers one of the most thematically rich and emotionally resonant experiences in recent memory. I wouldn’t go back in time to avoid this roller coaster, but I also wouldn’t want to live through it all over again.