Released May 23, 2019 $34.99 Very Positive Counts toward your Steam games

Pathologic 2

By Ice-Pick Lodge · published by tinyBuild

Story Rich Atmospheric Choices Matter Difficult RPG Survival Immersive Sim Detective Psychological HorrorSingleplayerSurrealSurvival Horror

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Followers —

Reviews 9,621 Very Positive

Players yesterday 77 at the busiest moment

Owners 500K–1M estimated

Pathologic 2 is a game tagged Story Rich, Atmospheric and Choices Matter by Ice-Pick Lodge, released May 23, 2019. It has 9,621 Steam reviews (Very Positive). It has an estimated 500K–1M owners on Steam. The Steam games most like it include Pathologic Classic HD, Pathologic 3 and Den-Den: Tokyo Horror.

Pathologic 2 is a groundbreaking open-world horror RPG. Resist the plague. Make medicine. Heal people. Perform an autopsy. Trade to get what you need. Fight and kill if necessary. Survive. Struggle with an outbreak in a secluded rural town that is rapidly turning into hell.

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<a href="https://launchrivals.com/games/505230-pathologic-2"><img src="https://launchrivals.com/games/505230/badge.png" alt="Pathologic 2 launch date" width="320" height="84"></a>

<a href="https://launchrivals.com/games/505230-pathologic-2"><img src="https://launchrivals.com/games/505230/badge.png?theme=light" alt="Pathologic 2 launch date" width="320" height="84"></a>

Pathologic Classic HD 83% match · Story Rich, Atmospheric, Choices Matter
Pathologic 3 81% match · Story Rich, Atmospheric, Choices Matter
Den-Den: Tokyo Horror 75% match · Atmospheric, Choices Matter, Difficult
Savior Syndrome 63% match · Story Rich, Atmospheric, Choices Matter
Disco Elysium - The Final Cut 61% match · Story Rich, Atmospheric, Choices Matter
Safe House 61% match · Story Rich, Atmospheric, Choices Matter
BACKROOMS: REALITY FAILURE 61% match · Story Rich, Atmospheric, Choices Matter
We Don't Exist 60% match · Story Rich, Atmospheric, Choices Matter
Causality: Antopolia 60% match · Story Rich, Atmospheric, Choices Matter
Ashe & Granite 59% match · Story Rich, Atmospheric, Choices Matter

Steam data

Everything Steam lists for Pathologic 2 · record updated 18 hours ago

Steam store

Overview

App ID505230

Release dateMay 23, 2019Early Access May 23, 2019

Last change number39595111

Last record update18 hours ago

App type: Game
Developer: Ice-Pick Lodge
Publisher: tinyBuild
Steam profile: Counts toward game count and achievement totals · checked Nov 1, 2025
Franchise: tinyBuild, Pathologic
Technologies: Unity detected
Website: pathologic-game.com

Language	Interface	Full audio	Subtitles
English	Yes	Yes	Yes
Russian	Yes	Yes	Yes

Windows

Steam Deck: Verified
Controller: Full support

Single-playerSteam AchievementsSteam Trading CardsRemote Play on TVFamily SharingFull controller support

Prices

Price · US$34.99

On sale0 of 41regions right now

Lowest seen · US$34.99Oct 24, 2026

Checked1 day agoin 41 regions

BrazilR$BRL

Every price change is kept from Oct 24, 2026 on. Pick a region below to compare.

Patches

Build	Branch	Updated
4331397	public	Oct 30, 2019

Packages & DLC

ID	Name	Games	Price (US)
407916	Pathologic 2	1	$34.99
401918	Pathologic 2 - Commercial License	1	$34.99
10905 Bundle	Pathologic 2 Supporter Bundle	1	$58.55
55291 Bundle	Pathologic 2 x One-Eyed Likho	1	$17.99
50321 Bundle	The Forgotten City x Pathologic 2	1	$23.74
64830 Bundle	Pathologic Modern Collection	1	$19.33

ID	Name	Price (US)
1080220	Not on the store yet	—
1141960	Not on the store yet	—

Depots

ID	Name	Systems	Size	Download	Manifest
505231	—	Windows	5.64 GB	2.77 GB	9106381092288173786
505232	— English	Windows	43.3 MB	1.7 MB	2248268203990368985
505233	— Russian	Windows	43.3 MB	1.7 MB	4739222643650354043
505234	—	Windows	19.38 GB	9.60 GB	4015637611103921196
505235	— English	Windows	10 B	64 B	4900659951696950895
505236	— Russian	Windows	10 B	64 B	2604354658566183329
1080220	— DLC 1080220	All	642.8 MB	540.5 MB	7440411019941681958
1141960	— DLC 1141960	All	21.0 MB	1.5 MB	1738103905240354095