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Pathologic 3 News

Devlog #02: Do No Harm

Hey,

The development of Pathologic 3 continues, and so does our conversation. Today, we’ll talk about a mechanic that is unique to Bachelor’s story — something you’ve never seen in the series before.

This devlog is available in both text and video formats.

WARNING! Strange as it may sound, a devlog about gameplay mechanics contains spoilers about gameplay mechanics. If you want to experience the game with a completely fresh perspective, consider skipping it.

[previewyoutube][/previewyoutube]

[h2]You Are Not a Butcher[/h2]
Every game in the Pathologic series tells the story of a person in a plague-ridden town. If that person is Haruspex — a self-taught surgeon who relies on intuition, a scalpel, and his knowledge of the Steppe — you get Pathologic 2, a survival-focused game where a doctor literally plunges his hands into human flesh.

But if our protagonist is Daniil Dankovsky — a renowned medical scholar, an observer, an analyst, someone who only resorts to laboratory research in the most exceptional cases — then the story takes a different turn, and the gameplay must change accordingly.



That’s important to us: we strive to make both the visuals and the mechanics reflect the protagonist’s subjective perception of the world and fit their story. That’s why Pathologic 3 introduces a fundamentally new approach to gameplay.

[h2]A Chance for Salvation[/h2]
Finding himself in a city ravaged by the Sand Plague, Daniil, as a true scientist, notices something strange. Some patients don’t die within five hours as they’re supposed to. Could it be that… the Sand Plague is weakened by other diseases? If that’s the case, then by studying infected patients and uncovering the cause of this anomaly, one could develop a vaccine. An imperfect, temporary solution… but what if it’s the first step towards salvation?

And so, from doctor and researcher, Dankovsky is forced to become a detective. You enter a hospital hastily set up in the town’s theater. Examine a patient’s medical file. Talk to them. Observe them. But something doesn’t add up. A misdiagnosis? Symptoms misinterpreted? Or… Are the patients simply lying?



[h2]Trust No One[/h2]
Not every complaint should be taken at face value. A hand wound could be the result of a street fight, or it could be an early sign of ulceration. A patient may blame their headache on the flu, but you’ll notice symptoms of Steppe Fever. And when you come across darkened eyes, changes in pupil shape, and other anomalies, even common sense won’t be enough. You’ll need to learn to read symptoms and search for clues beyond hospital walls.

A patient’s neighbors, or a forgotten item left at home, might reveal what’s been happening to them in recent days, helping you make the right diagnosis, save a life, and get one step closer to a vaccine. Staying in the makeshift hospital won’t be enough — you’ll have to search for the truth.

Luckily, Dankovsky is a keen observer with a sharp analytical mind. He has always played the role of a detective in his battle against death. He has everything he needs to uncover the truth.



[h2]Take Action[/h2]
Of course, there’s a simpler approach: collect samples, use a microscope, and get a clear answer. You’ll see which organ groups are affected, this will be reflected in the patient’s file, and the mystery will become much easier to solve.



But… Where will you get the necessary reagents in a city ravaged by disease? Even if your research helps rule out several incorrect diagnoses… The reagents will be depleted, and the next patient might not be so lucky.

Every day, new patients will come to you. If you manage to save them all today, you’ll be one step closer to developing a vaccine for the Sand Plague. But the disease mutates, and a new vaccine is needed every day. If the city is to survive until the 12th day, you’ll have to work hard.



[h2]Prepare for Consequences[/h2]
But… Put yourself in the shoes of an ordinary townsperson. Would you agree to be injected with an untested vaccine during an epidemic? And that’s assuming you even understand what a vaccine is — an uneducated factory worker might not. And if people are subjected to unexplained injections every day, they will start forming conspiracy theories and even riot.

Be careful when issuing city-wide mandates and enforcing quarantine measures. Frightened citizens won’t accept overly strict rules — if you push too hard, they will come for you and kill you before you can save the town. Unfortunately, a doctor from the Capital must fight not only the plague and death itself but also his own patients. Bachelor may risk his life to save them, yet still be seen as a tyrant, a tormentor, a madman.



[h2]To Kill Death[/h2]
Sometimes, exhausted Dankovsky closes his eyes and thinks: if only death could simply be killed. The locals believe the plague is brought by a Steppe golem — Shabnak, a monster from legend. If it were real, if he could shoot it with his fancy Capital-made Prototype gadget, he would take the risk, no matter how impossible it seemed. Anything would be better than fighting people who resist their own salvation…



In the following updates, we’ll talk about how to maintain the delicate balance of life in a dying town, and how to keep your own sanity intact. After all, what happens behind the microscope in the hospital is only the surface layer of Pathologic 3.

https://store.steampowered.com/app/3199650/Pathologic_3/

Bringing up the lights before we take the stage,
Ice-Pick Lodge

Pathologic 3, one of 2025's most promising RPGs, is getting a free prologue

Despite being one of the most thought-provoking and haunting RPG series ever, Pathologic has always flown under the radar. Very few games offer writing and narrative threads that manage to balance weirdness and wonder quite like the original and its long-awaited 2019 follow-up. A third entry in the series is arriving next year, but to help fans cope with the wait (and to hopefully attract new players too) Pathologic 3 is going to be releasing a free prologue.


Read the rest of the story...


RELATED LINKS:

Pathologic 3 is coming, a sequel to one of the best PC games you've never played

Wishlist Pathologic 3: Quarantine Now!

Hi everyone!
We’re finally ready to share a little mischief with you, called Pathologic 3: Quarantine.

https://store.steampowered.com/app/3389330/Pathologic_3_Quarantine

Quarantine is a free prelude to Pathologic 3 that you’ll be able to experience before the main game’s release. It’s akin to a demo version, but not quite. Our longtime followers might recall The Marble Nest—a playable teaser released before Pathologic 2. Quarantine follows a similar format but with slightly different goals: unlike The Marble Nest, which was a completely separate story, it will showcase fragments of gameplay mechanics, set the stage for the story, and pull back the curtain a bit for those curious about the game’s world.



This free prologue ties directly into the main game and partially overlaps with its intro, but has several unique scenes as well. For the first time in the series, we will see the Capital — where Bachelor’s poor lab is located. (Telmann is a traitor.)

Stay tuned for more details about Quarantine coming next year! Don’t forget to follow us on social media to grab front-row seats. And please add Quarantine to your wishlists: a small step for you — but it means a lot to indie developers like us.

https://store.steampowered.com/app/3389330/Pathologic_3_Quarantine

Building new sets for the upcoming play,
Ice-Pick Lodge

Devlog #01: Sound and Atmosphere

Hey friends!

Today, we’re sharing a video from our sound design team, put together for Save and Sound.

Consider this a controlled gameplay leak of sorts, with plenty of hints and mini-teasers. We won’t be explaining everything just yet, but stay tuned for more details in December. :)

Today, we want to dive into the atmosphere we’re building. Atmosphere is nothing without sound – Ressa, Vasily, Natalia, and Arthur will walk you through the sound elements that make up the game’s ambiance, how they’ve organized the sound production from a tech perspective, and how the sounds of Buenos Aires somehow snuck into the Town on the Gorkhon.

[previewyoutube][/previewyoutube]

Thanks for tuning in, and we hope we’ve sparked some discussion!

See you soon!

Pathologic 3 FAQ #1

Hey hey!


Very soon, we’ll be sharing the first details about the game, starting with the soundtrack: on November 4th, we’re taking part in Save and Sound, an annual event dedicated to sound design and soundtracks in video games.

We know the wait has been long, and we want to thank you for the warm reception of the announcement. Today, we’d like to clarify a few points that we often see coming up in community discussions about the Pathologic 3 announcement.

So, let’s get started!


Q: What happened to the route for Pathologic 2? Has it evolved into a sequel?
A: Yes, that’s exactly what happened: the game simply grew beyond our concept of DLC—it will have different gameplay and entirely new features. Instead of one game with three playthroughs using the same gameplay but different storylines (as in the original 2005 release and the Classic HD remaster), we’re creating three fully developed games with distinct gameplay and significant differences in narrative.

Now, these are truly three separate protagonists with unique worldviews, perceptions of reality, and distinct tools. From a gameplay perspective, this means three different approaches and a complete rethinking of the original scripts.

One storyline was released in 2019, centered on the Haruspex. It was a large game that took much more time and work than initially planned. For publishing reasons, it was titled Pathologic 2.

Pathologic 3 is a new, full-fledged game focused on the Bachelor. The title was chosen to avoid confusion, making it clear that this is not a DLC but a complete game with a similar playtime.

Q: What about the Changeling?
A: Finally, there’s the Changeling, but we’d prefer not to make promises prematurely, so we’ll return to her when there’s more to share.

Moving forward, we plan to stick to this approach. We understand that premature promises about the previous Pathologic led to unfulfilled expectations. We apologize for that and don’t want to mislead you in the future. The developer should not be an unreliable narrator—unlike his characters.

Q: How do Pathologic 2 and Pathologic 3 differ?
A: The protagonists! And that’s only half-joking. The main idea and reason for dividing these games is that the Haruspex and the Bachelor are very different characters. The further we developed the Bachelor’s story, the clearer this became. We didn’t want to compromise by making the game a “safer” rework of the original script, so we reimagined the core gameplay loop:

The Haruspex needed to survive, fight, scavenge, rummage through garbage for scraps of bread, and try to save those he held dear along the way.
The Bachelor is a man of intellect. Survival is not his primary concern; his goals go beyond what one lifetime could contain. He needs to think, formulate theories, and gather evidence. Ultimately, he must issue commands and observe the results. This distinction will be emphasized through gameplay, mechanics, objectives, soundtrack, and so on.

After Save and Sound, we plan to return later this year to show you what we mean. As they say, "Show, don’t tell."

Q: Who will receive game keys?
A: We remember our commitments to those who supported us during the fundraising stage nearly ten years ago, so we will provide keys to:
  • Kickstarter backers and other platforms where support for the game was available during the fundraising stage
  • Backers from 2014 and 2015

Also, backers entitled to two copies will receive two keys.
We’ll share details on how to claim keys closer to release.

Q: Will the new game have its own artbook?
A: At the moment, we’re not planning a physical one, but we might create a digital artbook for the Supporter Pack. We're not sure yet!

Q: Which languages will the game be localized into, including text and voice-over?
A: We definitely plan to localize into English and Russian, and we’re considering Brazilian Portuguese, German, and Simplified Chinese. We’ll confirm languages closer to launch.

Q: Will the Russian title of Pathologic 3 remain?
A: Yes, we’re still considering options. Current ideas include “Finally,” “See, You Didn’t Believe Us,” and “Sorry for the Long Wait.”

Q: Will the game be available on GOG and other stores?
A: We’ll know closer to release, but it’ll likely be available on all platforms where Pathologic 2 can be found.

Q: Will preorders be available?
A: No.

Q: What platforms other than PC are planned for release?
A: We’re planning releases for PS5 and Xbox S/X, likely following the PC release.

Q: What engine is the game being developed in?
A: The same engine as Pathologic 2: Unity.

Q: Will the same voice actors return for Pathologic 3?
A: Yes, we’ll bring back the same actors from Pathologic 2, or at least, we’ll do our best.

We’ve prepared a big surprise for you in the coming months, so please add us to your Steam wishlist!

https://store.steampowered.com/app/3199650/Pathologic_3/

Soon, we’ll return with news that will definitely excite you.

Until then, we’ll see you on November 4th!