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A Russian town, isolated for years from the surrounding influences of technology, finds itself subject to a terrible plague. The player controls one of three potential saviors, a government agent sent to the village (The Bachelor), an undertaker's son who has come to take over the business from his father (The Haruspex), and a young woman with mystical healing powers (The Devotress); the latter can only be played after having completed the game using one of the other characters. The three scenarios feature completely different missions, though their storylines are connected to each other.

Pathologic is a hybrid adventure game that incorporates elements of the role-playing and survival horror genres. The game world is viewed from a first-person perspective at all times. Much of the gameplay is dedicated to the exploration of the large town and conversations with its eccentric inhabitants, who will give the protagonist missions. Taking a cue from RPG quest design, some of these missions are entirely optional, while others serve the main storyline and trigger other quests.

The survival horror angle is emphasized by the various statistics the player should pay attention to. The protagonists get hungry and tired, so acquiring food and resting from time to time is essential. The protagonists can also become infected by the mysterious disease, which is demonstrated by a corresponding status bar; medications of various kinds must be applied to lessen or cure the infection. The game has a precise internal clock, and its characters might change their locations regardless of the player's input, which makes some of the quests time-based. Completing the main quests, however, is only one of the requirements for reaching the best ending; the game's time will advance and events will occur even if the player character sleeps through the whole game (provided he/she has enough food for that time). The town must be saved in 12 days (game time); failure to do so will trigger one of the "bad" endings". The player is able to make moral decisions concerning saving characters or following one of the several leading groups in the game.

Combat in the game is action-based, following the FPS format. However, to emphasize the survival angle, all the three protagonists are rather clumsy and not particularly efficient in combat, and ammunition is scarce. Knives and other melee weapons can be used, as well as various guns. Weapons and clothes will become damaged and deteriorate; however, certain types of characters in the game will be able to fix them. Obligatory combat is rare in the game, though the player can kill any of the town's inhabitants, break into their houses, or fight criminals at night.

Economy and trading systems occupy an important portion of the gameplay. Prices in the shops will rise or fall depending on the current situation in the town. It is possible to sell any items the player finds in the game; however, another option is to trade them with the characters that roam the town. Depending on the character type, various trade possibilities are available, such as for example trading beads or needles that can be sometimes found in trash bins for valuable ammunition.


Pathologic Windows The railway
Pathologic Windows The citizens have many fine works of art on display in their homes. The paintings aren't just decorative; they can hint at aspects of their owner's character... or perhaps their desires.
Pathologic Windows Trading items with a kid on the street
Pathologic Windows The stats screen lets you keep track of all your vital functions. Right now, I'm pretty hungry but at least I don't have the plague!

Promo Images

Pathologic Concept Art
Pathologic Concept Art
Pathologic Concept Art
Pathologic Concept Art

Alternate Titles

  • "瘟疫" -- Chinese spelling (simplified)
  • "Мор: Утопия" -- Russian spelling
  • "Wen Yi" -- Chinese title
  • "Mor: Utopia" -- Russian title

Part of the Following Groups

User Reviews

Don't get scared if you see the Executor in front of your house Windows Unicorn Lynx (181442)
A unique game, the first of its kind, with all the good and bad points that can bring. Windows xroox (3957)
If there are reasons why adventure games are dying, then Pathologic is one of those reasons... Windows Indra was here (20853)

Critic Reviews

VRgames Windows Jul 31, 2005 9 out of 10 90
Online Games Library (OGL) Windows Jul 11, 2005 9 out of 10 90
LKI.ru Windows Sep 01, 2005 62 out of 70 89
Adventure Corner Windows Jun 08, 2006 67 out of 100 67
PC Action (Germany) Windows May 07, 2006 66 out of 100 66
Gamona Windows Mar 11, 2006 66 out of 100 66
Game Overdrive Windows 2006 6.4 out of 10 64
Gamigo Windows Apr 20, 2006 5.9 out of 10 59
Game Captain Windows May 02, 2006 45 out of 100 45
Hardcore Gaming 101 Windows Dec 06, 2012 Unscored Unscored


Topic # Posts Last Post
Pathologic remake on Kickstarter 1 GTramp (78036)
Sep 08, 2014
Pathologic Translation Project back online 2 Unicorn Lynx (181442)
Feb 14, 2010
Can I finish it?.. 5 Unicorn Lynx (181442)
Feb 02, 2009
Random crashes 6 xroox (3957)
Sep 06, 2008
This is... interesting 10 Indra was here (20853)
Jun 09, 2007



Some members of the development team lent their faces to the game's characters. Artemiy Burakh is portrayed by Ice-Pick Lodge studio head Nikolay Dybowski.

German voice actors

In the German release, the three main characters are voiced by the actors who dub Jude Law, Uma Thurman, and Andy Garcia in German versions of many American films.


The pistol in the game is the Webley-Fosbery Self-Cocking Automatic Revolver, a British weapon produced from 1901 to 1915. It is easily recognizable thanks to the distinctive zig-zag grooves on the cylinder.

Russian to English translations

  • The game's original Russian title is Mor: Utopia; while the second part is self-explanatory, the first word means Plague. A couple of things remain untranslated in the English version of Pathologic.
  • In the graveyard, just behind Laska's place, there is a prominent gravestone with an inscription in Russian. It reads:
    "Here Farhad lies,
    the most stubborn one of the architects.
    We built this tombstone on the perfect foundation.
    From inconsolable guild brothers,
    P. & A. Stamatin."
  • If you fail to achieve your objective by the end of the first day, you will see a 'death' video with Russian voiceover. The voice is saying:
    "We placed our hopes on him, but he failed to get ready for the meeting. The Hair Eater, the Bone Spirit, Shabnak stole up to him, touched him and turned his blood into poisoned tar. Having eaten the body, it got into the heart of the steppe, reached the intearior waters, and the plague swallowed these lands up."

Version differences

  • In the original Russian release, the teenage children you meet in the streets can be killed and will fight back if threatened. In the European release, they are invulnerable and will run away, instead of attacking.
  • Changes have also been made to some of the game's missions. For instance, the midget you meet (and can kill) on Day 1 of Burakh's story was a teenage boy in the Russian version. These changes are due to the European rating system. Other games it has affected include Fallout and Silent Hill, both of which had children removed from the Euro versions.
  • The original Russian version featured over 1.200 pages of text, while the English one has only around 720.
Information also contributed by Aleksey Luchin, hydra9, and Alessa, from the game's official forum,

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Contributed to by firefang9212 (77344) and Wurg Iamnotjim (77)
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