About the Game
Pathologic 3 is a psychological horror game where you have only 12 days to save a town from a mysterious plague.
You are Daniil Dankovsky: physician, researcher, prodigy. Your research into the nature of death has brought you to this remote town deep in the eastern steppe, looking for a man said to be immortal.
But the outbreak of a deadly contagion sweeps through the town. The immortal man is dead. You failed to stop it.
Now you must return to the beginning. Fix your mistakes. Save the town.
Examine the sick and make diagnoses. Each patient is a unique story — and a medical mystery. They may lie, omit the truth, or hide their motives. You must separate fact from fiction, and identify the real symptoms. Step by step, you'll get closer to developing a vaccine that could change everything.
You will make mistakes, face their consequences, and unlock new decrees. Your actions will shape the town—even if the people grow to hate you for it. Power is in your hands. It's up to you whether the streets will see gunfire or fireworks.
Time is your tool for navigating a narrative web filled with moral dilemmas and branching paths. Rewind if you think you could have done better. Keep your eye on your ultimate goal—even if the road there is paved with sacrifices.
Screenshots
12 images
Version Information
Steam Patch Notes
Official update history
Hi, friends!
Hotfix #9 is here. This time we tackled recipe distribution logic for the child traders, added clearer explanations for a few contentious story situations (that looked like bugs), introduced new tutorials — and, of course, shipped a batch of quest/technical fixes that affected progression.
Patch Notes:
(Important!) Child traders will no longer give you recipes you already know.
(Pretty important!) Added a tutorial about canceling major quests. Some storylines can be canceled — but doing so will reset a huge number of quests, which you’ll then have to replay from scratch if you decide to bring them back. We’re keeping the option, but the warning is now much clearer.
(More tutorials!) Added new tutorials for the tablet, examinations, and the “vaccine of the day.” We noticed many players mark symptoms in the tablet very conservatively — even though it’s usually better to mark everything, interview the patient, and then remove what doesn’t fit. We tried to make that clearer.
Fixed resetting the escape quest on Day 10. If it disappeared in your save, open the console and enter:
set_global_variable Day10_Q16_StationFarewell_1_Done falseFixed the quest about saving Rubin on Day 3. He should no longer be dead when he isn’t dead.
Sleeping Rubin has stopped staring at the player!
The quest about his final wish can now be reset properly.
Fixed the Simon’s office quest on Day 2 resetting on its own.
Vlad the Younger now places a few more decrees in the Headquarters (this doesn’t affect gameplay, just so you know).
Access to the Decree Board is now disabled when the Bachelor first leaves the Town Hall as part of the story.
Fixed the sound and behavior of Farhad’s lamp (from the Supporter’s Pack).
Map markers: Town Hall (Day 3), Mirosya’s house (Day 8).
Hyoscyamine now works correctly during euthanasia.
Fixed the courier in Viktor’s quest on Day 10.
Fixed the credits so the ending scroll reaches the top nicely.
Slightly adjusted Pyotr’s tooltip in the “People” window.
Slightly adjusted images for some diseases in the reference book.
Pyotr used to show up for the performance on Day 11 even if you talked him out of it. Now he behaves.
Fixed the Mirror Room after endings — sometimes it wouldn’t let you leave.
If after the update you still run into bugs or odd behavior, please report them in the appropriate Steam Community thread or the relevant Discord channel/topic.
Email reports are also extremely helpful: write to us at [email protected] and send:
Player and Player-prev logs from:
C:\\Users\\%Username%\\AppData\\LocalLow\\Ice-Pick Lodge\\Pathologic 3the problematic save from:
C:\\Users\\%Username%\\AppData\\LocalLow\\Ice-Pick Lodge\\Pathologic 3\\Saves
(save profile folders: Default / 1 / 2)
This helps us find the issue faster and fix it sooner!
[img src="{STEAM_CLAN_IMAGE}/45235074/f26c4f793baad03eb627aff87ebdd4e574c1e63b.jpg"]
Tuning reality until it matches the intent,
Ice-Pick Lodge
Hi, friends!
Hotfix #8 is here! This time we tackled a few important things — from the Stamatins’ performance state on Day 11 and one of the endings, to making sure Eva appears where she was always supposed to. And, of course: Thoughts, markers, “Mind Palaces,” dialogues, and highlights.
Patch Notes:
(Important!) Fixed logic issues with the Stamatins’ performance on Day 11. Their state should now be counted correctly.
(Important!) Fixed an infinite loading screen in the escape ending if the player had never been to Day 12.
(Important!) In the right situation, Eva now appears in the Stillwater — as she always should have (but didn’t).
Added a reaction for Sticky on Day 5 if you’ve met him before!
Improved several different “Mind Palaces.”
Replaced the heart icon in the profile/save selection window <3.
Also fixed images for a number of locations there.
Fixed an additional dialogue for the dancer on Day 3.
Fixed Thoughts related to Isidor’s funeral (Day 2) and Thoughts related to rivers of blood (Day 9).
Fixed map markers and Thoughts in the steppe sacrifice quest on Day 8.
Removed forced dialogue with the water carrier and Lara.
Fixed Sticky's fate on Day 12 — he could die when he wasn’t supposed to.
Added highlights to boxes in the Warehouses.
Removed a grave on the Cemetery on Day 1 — one that shouldn’t exist yet.
Variables now reset correctly when discussing plague mold on Day 2.
Fixed transitioning into dialogue in the chess flashback (it wouldn’t trigger if you didn’t clear the “Mind Palace” on the first try).
The cursed street quest (Day 7) now resets properly if you didn’t finish it. (This doesn’t mean something that’s meant to be non-cancelable is now cancelable!)
If after the update you still run into bugs or odd behavior, please report them in the appropriate Steam Community thread or the relevant Discord channel/topic.
Email reports are also extremely helpful: write to us at [email protected] and send the following files from your PC:
Player and Player-prev logs located here:
C:\\Users\\%Username%\\AppData\\LocalLow\\Ice-Pick Lodge\\Pathologic 3The problematic save file, located here:
C:\\Users\\%Username%\\AppData\\LocalLow\\Ice-Pick Lodge\\Pathologic 3\\Saves — open the save profile folder. There are three of them: Default (slot 1), 1 (slot 2), and 2 (slot 3).
This helps us find the issue faster and fix it sooner!
[img src="{STEAM_CLAN_IMAGE}/45235074/0b1ed1df55bd1994ff7944d7f5c3551e84e87b32.jpg"]
Tuning reality until it matches the intent,
Ice-Pick Lodge
We've prepared a small hotfix for a Pathologic 3 Demo
Patchnotes
- Fixed an audio/subtitle synchronization issue in the intro video
- The hint prompting to open up the inventory now stays on until the inventory is opened
- Fixed a possible softlock while having not enough prototype charges
- Fixed a bug that made the last match in a quickslot disappear instead of being consumed when using it
- Fixed a bug that made matches in the quickslots disappear on pressing the quickslot key while wielding the prototype
- Changed the sound of shattering mirrors
- Added a custom mouse cursor
Thank you for playing the demo and for the feedback!
Ice-Pick Lodge
Current Release
Build 22362178
Uploaded Jul 13, 2026
System Requirements
How to Install
Pathologic3.exe to play
Troubleshooting tips
• Run Redist/_CommonRedist installers if game won't start
• Add folder to Windows Defender exclusions
• Run as administrator
Download
Direct link available
32.7 GB
22362178
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Download Pathologic 3 for PC with a direct link or via torrent. Get the full version of Pathologic 3 for free. Pathologic 3 is a Adventure released by Ice-Pick Lodge.