Key conclusions
- Open-world survival horror RPG Pathologic 3 has been announced for 2025, confirmed for PS5, Xbox Series X/S and PC.
- The game will star The Bachelor, one of three playable characters from the first Pathologic who was absent from the 2019 reboot.
- In addition to graphical improvements, Pathologic 3 will feature a time travel mechanic that will add even more complexity to the gameplay loop and incorporate surreal themes.
Pathological 3 was officially announced. The sequel to the popular open-world horror RPG promises to add to the ever-growing catalog of surreal games for PC and consoles.
The development of the Russian studio Ice-Pick Lodge, the original Pathological hit the market in 2005 and quickly became a cult following thanks to its intoxicating atmosphere, compelling writing, and unusual premise that revolved around saving a disease-ridden town. The disturbing psychological horror game was created on its own engine. It was later remade in Unity with some additional features as well as a number of notable omissions, and publisher TinyBuild released the project in 2019 as Pathological 2.

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Pathologic 3 Announced for 2025
Now the open world horror RPG series is set to continue Pathological 3which was officially announced in early October 2024. While the third entry in the franchise will still be made by the same developers, it will be published by Cypriot company HypeTrain Digital. The game is currently slated for a 2025 release as it's confirmed for PlayStation 5, Xbox Series X/S, and PC.
Pathologic 3 Stars the Bachelor
While the first Pathological featured three playable characters, its reboot-sequel only allowed players to step into the shoes of one of them, the so-called Haruspex. Another member of the original trio, The Bachelor, is now set to star Pathological 3. Therefore, the upcoming game can be seen as a continuation of Ice-Pick Lodge's efforts to complete Pathological 2which always intended to remake all three stories from the first series. But releasing the Bachelor's campaign as a stand-alone entry rather than paid DLC makes it easier for the Russian studio to make notable graphical improvements, such as those seen in the game's demo trailer.
In terms of gameplay differences, Pathological 3 will feature a time travel mechanic that the developers have already experimented with Marble nesta Pathological 2 DLC released in late 2019. This ability is said to be the Bachelor's main advantage in his fight against an epidemic that has engulfed the mysterious city in which the new game is (still) set, allowing him to relive key events and change them to his advantage.
Our goal is to make the player feel that time is more complex than we usually perceive it as a linear path.
Besides adding depth to the classics Pathological looping gameplay of time management, the ability to rewind time is also part of the surreal themes of survival horror. “Our goal is to make the player feel that time is more complex than we usually perceive it to be – as a linear path,” said Ice-Pick Lodge founder Mykola Dybowski. Seeing how Pathological 2 is still widely touted as one of the best non-linear horror games ever made, the arrival of its even more convoluted sequel is sure to be exciting news for many fans of the genre.