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For other uses, see Pathology (disambiguation).
Distributor(s) G2 Games
Engine Unity (remake)
Platform(s) Microsoft Windows, OS X, Linux, PlayStation 4, Xbox One
Release date(s) 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: Fall 2017
Genre(s) Adventure, survival, role-playing
Mode(s) Single-player

Pathologic (Russian: Мор. Утопия, tr. Mor. Utopiya; IPA: [mˈor. ʊtˈopʲɪjə]; En. 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 remake of the game in Unity is also currently being developed for Microsoft Windows, OS X, Linux, PlayStation 4 and Xbox One, and is scheduled for release in fall 2017, being developed and to be published again by Ice-Pick Lodge.[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.

While trying to discover the secrets of the town, the player's other goal is simply to survive to the end of the 12 days by balancing various resources within the game's fluctuating economy, which represents the harsh "supply and demand" nature of a shut-off disease ridden town.

On the edge of town, there is a great building named Polyhedron (Многогранник), a geometrically 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), an insane asylum, next to it. All districts and major buildings of the town are named after body parts and biology.


Pathologic was critically well received, winning five major Russian awards.[3] 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.[4][5]

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."[6]


Ice-Pick Lodge expressed interest in creating a crowd-funded remake of the game,[7] and on 4 September 2014, a Kickstarter campaign for the remake was launched.[8] 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.[9] It's a separate release from the remake. It features improved graphics, cloud saves and a new translation.[10]

Ice-Pick Lodge officially announced in August of 2016 that the release of the remake would be delayed to fall of 2017.[11]


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