User Score
7.5

Generally favorable reviews- based on 30 Ratings

User score distribution:
  1. Positive: 23 out of 30
  2. Mixed: 0 out of 30
  3. Negative: 7 out of 30

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  1. Dec 15, 2020
    9
    Behind its insufferable gameplay, Pathologic 2 hides a deep universe with carefully written dialogue and incredible world design. It's mesmerizing the amount of thought that Ice-Pick Lodge put into their world, and the risks they took to make the world into fruition. Everything is coherent, from the way you move around the map to the unforgivable survival mechanics. This game isBehind its insufferable gameplay, Pathologic 2 hides a deep universe with carefully written dialogue and incredible world design. It's mesmerizing the amount of thought that Ice-Pick Lodge put into their world, and the risks they took to make the world into fruition. Everything is coherent, from the way you move around the map to the unforgivable survival mechanics. This game is depressing, and proud of it.

    The only reason it doesn't get a 10 from me is the fact that this game runs really ROUGH on the Xbox One. I have a pretty high tolerance for bugs and glitches and don't like to let technicalities influence my reviews, but I feel like it wouldn't be a fair review without mentioning these issues.

    I get that this is a tiny studio we're talking about, but I have to say that seeing a loading screen every time I walk like 20 steps really breaks the immersion that the rest of the game works so hard to maintain. I even debated giving it an 8 just for these issues.

    Incredible game. It's probably more entertaining to just read about it online or watch other people play it though
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  2. Jan 7, 2020
    8
    Pathologic 2 is a marvelous masterpiece as a psychological game. Before we start I want to tell you that most of the "mind play" games or "psychological" style games are based on the story and your mind not the game play. Pathologic 2 contains both elements. There's so many options that you can consider so many things that you can decide and if you just miss a spot you'll be in your innerPathologic 2 is a marvelous masterpiece as a psychological game. Before we start I want to tell you that most of the "mind play" games or "psychological" style games are based on the story and your mind not the game play. Pathologic 2 contains both elements. There's so many options that you can consider so many things that you can decide and if you just miss a spot you'll be in your inner hell trust me. Where the hell am I? What happened to game , which was the real are we on the past now or is this present day? These are the questions you might get from your confusion. I really don't wanna write about the story line of the game, because I don't want to spoil It for you. If you really want to know about this game no review would help you to do that. You need to come inside and experience it yourself on your Xbox One. Expand
  3. Apr 4, 2020
    0
    L'indé étronisé étron de la semaine est russe ! il est donc soit tout en russe... soit tout en anglais intégral ! et il est pathologique, ça c'est sûr... et certain. C'est un jeu crade, glauque et sinistre pendant une épidemie d'on ne sait quoi, dans une époque non identifiée (pendant la révolution bolchévique peut-être ?).

    Vous êtes un médecin mais on en sait pas plus, car le jeu
    L'indé étronisé étron de la semaine est russe ! il est donc soit tout en russe... soit tout en anglais intégral ! et il est pathologique, ça c'est sûr... et certain. C'est un jeu crade, glauque et sinistre pendant une épidemie d'on ne sait quoi, dans une époque non identifiée (pendant la révolution bolchévique peut-être ?).

    Vous êtes un médecin mais on en sait pas plus, car le jeu commence au milieu et la narration progresse à reculons, histoire d'embrouiller encore davantage ce qui peut l'être et d'aggraver encore cette ambiance exécrable qui pue la dépression et la psychose paranoïde (trop de vodka).

    Les dialogues sont ineptes et présentés d'une façon... aberrante dans ce FPS qui semble, ne le cachons pas, tout droit sorti d'une benne à ordures et... d'un autre âge ! l'interface est à l'avenant et la jouabilité (?) est aussi repoussante que l'ensemble du "jeu" proposé ici : un mauvais "délire" au sens très psychiatrique du terme...
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  4. Dec 13, 2019
    9
    Что-то странное, непонятное, но жутко интересное! Да, графон здесь не блещет, многое технически сделано слабо, но сюжет компенсирует все недостатки. Мне нравится похожее, к тому же оптимизация на Xbox One X отличная.
  5. Feb 1, 2020
    10
    Что-то глубокое, интересное, родное... Как игра, Pathologic 2 вышла не однозначной, не для всех, как игры Кодзимы. Но под графикой 2015 года таится действительно хорошая игра с продуманной историей. Отлично!
  6. Feb 2, 2020
    10
    Pathologic 2 - This is very good story with very cool soundtrack! Must Play!
  7. Feb 2, 2020
    10
    Очень глубоко продуманная игра, далеко не для всех. Хочется только похвалить Ice-Pick Lodge за проделанную ими работу.
  8. Mar 30, 2020
    10
    Good and not happy story. Plague theme is very relevant (On the streets COVID-19).
  9. Mar 30, 2020
    10
    This game is not for all. Absolute not for all, but i love this game. Very interesting game.
  10. Feb 10, 2021
    2
    I must have missed something with this game. It is terrible. Implementation of suspense is one thing but throwing you into a story that makes no sense is something else. Terrible graphically and sonically, awful gameplay and atrocious "survival" mechanics. I lasted an hour before I quit and deleted from hard drive. I could actually find no redeeming features at all
  11. Oct 14, 2020
    1
    Terrible game. Story makes no sense. As soon as you start everyone in every area hate and attack you pretty much, everything needs to load and it takes a while. It feels like an early Xbox 360 game. No redeeming features at all. Play Vampyr, I got Vampyr vibes from this somewhat, but that game is superior. Avoid Pathologic 2.
  12. Jun 7, 2021
    10
    Um dos melhores games que joguei durante minha vida recomendo e muito!!!!!!
  13. Feb 2, 2020
    10
    Russian developers from Ice-Pick lodge done very interesting game with very good songs and atmosphere.
Metascore
65

Mixed or average reviews - based on 6 Critic Reviews

Critic score distribution:
  1. Positive: 1 out of 6
  2. Negative: 0 out of 6
  1. Apr 16, 2025
    70
    Pathologic 2 is extremely unpleasant and crushing to play, but that is seemingly the entire point. The thought and effort poured into the balance of all the economies to make every action carry immense weight took courage from the developer. Haruspex are healers with a single purpose and live to save lives, but living does not come so easily in Pathologic 2. Those who are fascinated by the prospect of an immersive survival game where the fun is trying to make the best out of a losing situation will find this worth their time. Just keep an eye on your blood pressure while playing.
  2. Jan 22, 2020
    65
    The world and narrative does a great job of immersing you into a bleak and desperate world, only to be constantly taken out by long loading times, pop-in textures and terrible combat. While I wasn’t a fan of the survival elements, those that enjoy their challenging games should thrive with the difficulty. You can’t save everyone, sometimes not even yourself, but Pathologic 2 surely is an experience unlike any other, for better and worse.
  3. Jan 20, 2020
    75
    The Russian studio Ice-Pick brings us again an interesting proposal that mixes elements of exploration, rpg and psychological terror to give as a result a great title that compensates its technical and gameplay failures with a really good story and setting.