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Engine Unity (remake)
Platform(s) Microsoft Windows, OS X, Linux, PlayStation 4, Xbox One
Release Microsoft Windows
  • CIS: 9 June 2005
  • EU: 18 August 2006
  • WW: 29 October 2015 (Classic HD)
Remake: Microsoft Windows, OS X, Linux, PlayStation 4, Xbox One
  • WW: 2018
Genre(s) Adventure, survival, role-playing
Mode(s) Single-player

Pathologic (Russian: Мор. Утопия, tr. Mor. Utopiya, IPA: [mˈor. ʊtˈopʲɪjə], lit. Pestilence. Utopia) is a 2005 psychological horror adventure survival role-playing video game developed by Russian game studio Ice-Pick Lodge. It was published in Russia, and other CIS countries, by Buka Entertainment. The game was published in Europe on 18 August 2006 by G2 Games. An updated version of the original game titled Pathologic Classic HD, featuring a new English translation, updated graphics, and enhanced compatibility, was developed by General Arcade for Microsoft Windows, and was released on 29 October 2015, being published by Gambitious Digital Entertainment and Devolver Digital.[1] A full scale remake of the game in Unity under the title Pathologic 2 is currently being developed for Microsoft Windows, OS X, Linux, PlayStation 4 and Xbox One. It is scheduled for release in 2018 and will be published by tinyBuild.[2]


The game is about three characters who are mostly known by their nicknames: two men, Bachelor (Бакалавр) and Haruspex (Гаруспик), and a girl nicknamed Devotress (re-translated to "Changeling" in the "Classic HD" version) (Самозванка). Each of them tries to uncover the source of a strange lethal sickness known as the "sand plague" that has befallen a small town. Although players can play as each of them, there is only one storyline, which is seen from different points of view depending upon the chosen character. The ability to uncover some secrets depend on which character is being played and the characters also interact with the other two unchosen characters and discuss their progress over the course of the game.

The game takes place in a perpetual world over a time frame of 12 in-game days. Throughout each day, the player receives quests from non-player characters (NPCs), however, the game continues regardless of whether they are completed or not. At exactly midnight of each day, the incomplete quests are erased from the player's notebook. Quests are divided into main missions, (one per day) which decide if a major character will die, and side quests, which earn money and items. Completing main quests is essential to discovering the secrets of the town, as characters can fall ill from the plague early in the game who would otherwise reveal information later in the game.

The player's other goal is simply to survive to the end of the 12 days by maintaining various resources. The game's fluctuating economy represents the harsh forces of supply and demand in an isolated, disease-ridden town.

On the edge of town, there is a great building named Polyhedron (Многогранник), a physically impossible structure used as a fortress by children. On the opposite side lies an ominous cattle-slaughtering Abattoir, with the Apiary (re-translated to Termitary in the "Classic HD" version) next to it. All districts and major buildings of the town are named after body parts and biology.


Aggregate scores
GameRankings66% [4]
74.56% (Classic HD)[5]
Metacritic76/100 (Classic HD)[3]
Review scores
PC Gamer (UK)52/100[4]
CD-Action95/100 (Classic HD)[3]

Pathologic was critically well received, winning five major Russian awards.[7] However, its reception in English-speaking countries has been varied, being both praised for its remarkable atmosphere and concept while equally panned for its poor translation, outdated graphics and slow gameplay.[6][8]

Since release, the game has become a cult classic, with Rock, Paper, Shotgun notably writing a 3-part article on the game describing it as "the single best and most important game you've never played."[9]


Ice-Pick Lodge expressed interest in creating a crowd-funded remake of the game,[10] and on 4 September 2014, a Kickstarter campaign for the remake was launched.[11] The campaign was successful, gathering $333,127 of its funding goal of $250,000. The remake version will feature new quests and content, improved visuals from the Unity engine, more balanced gameplay, smarter AI for the NPCs, realistic behavior patterns for the Sand Plague disease, and improved English localization.

A remaster of the original titled Pathologic Classic HD was released on 29 October 2015.[12] It's a separate release from the remake. It features improved graphics, cloud saves and a new translation.[13]

tinyBuild officially announced on 31 August 2017 that they have entered into a publishing agreement with Ice-Pick Lodge to release the remake in 2018 as Pathologic 2, explaining that the title change was mainly due to avoid confusion with the original game. There are also plans for Kickstarter backers to have early Alpha access of the remake from a small section of the town.[14]


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