Players consistently cite the game's punishing difficulty, clunky mechanics, and repetitive tasks as major sources of frustration. Specific issues include tedious movement (e.g., excessive walking), unstable saves, unclear objectives, and harsh combat systems that punish mistakes without clear guidance. Technical problems like bugs, poor optimization, and compatibility issues further exacerbate the experience.
Players derive satisfaction from overcoming the game's challenges, uncovering its narrative depth, and mastering its systems. The payoff for enduring repetitive or difficult mechanics—such as completing quests, achieving endings, or connecting thematic dots—creates a sense of accomplishment. The game's immersive world and character-driven storytelling also contribute to this emotion.
The game's bold ambition, thematic depth, and historical significance earn admiration from players. Its unique narrative structure, rich character development, and immersive atmosphere are frequently praised, with many describing it as a masterpiece despite its flaws. The developers' vision and execution, particularly in storytelling and world-building, are highlighted as standout achievements.
Players appreciate the game's artistic elements, such as its soundtrack, atmosphere, and art style, as well as its narrative and cultural value. The depth of storytelling, metalinguistic design, and emotional impact are often cited as reasons for high ratings, even when acknowledging technical or mechanical shortcomings.
Disappointment stems from the game's failure to meet expectations, particularly in gameplay execution. Players criticize outdated mechanics, repetitive tasks, and technical issues (e.g., bugs, poor optimization) that detract from the compelling story. Unfulfilled potential in character development, quest design, and narrative payoff also contributes to this emotion.
Verdict
Mostly positive
Summary
Positive 76% · Negative 24%. Score: 24 / 100
Positives:
The game is frequently praised for its deeply immersive and oppressive atmosphere, enhanced by sound design, world-building, and narrative depth. Players describe it as unique and transformative, often comparing it to literary or cinematic masterpieces.
The soundtrack and sound design are frequently praised for enhancing the game’s atmosphere. The music is described as experimental, haunting, and perfectly suited to the game’s tone.
While the gameplay is often described as punishing or unintuitive, players appreciate its depth and uniqueness. Survival mechanics, real-time progression, and psychological stress create a memorable and engaging experience.
Many players regard the game as one of the best or most unique in gaming history, despite its flaws. Its eccentricity, depth, and emotional impact have earned it a dedicated fanbase.
The HD remaster is noted for its improved translation, visuals, and performance, making the game more accessible to modern audiences without compromising its original vision.
Negatives:
The game is intentionally difficult, with frequent deaths, unclear mechanics, and unbalanced challenges. Players describe it as frustrating, stressful, and not relaxing, with a steep difficulty curve.
Combat is poorly implemented, with unreliable hit detection, unintuitive controls, and awkward mechanics. Players report missed shots, unrealistic melee damage, and combat feeling like an afterthought.
Players consistently report excessive walking, slow movement speed, and repetitive mechanics like looting and NPC interactions. The game's pacing is described as a chore, with estimates suggesting 70-95% of gameplay involves walking.
The game is not designed for enjoyment in the traditional sense, with players describing it as a 'walking simulator' or a waste of time. It requires deep engagement with the plot to progress.
Daily tasks, side quests, and gameplay loops are repetitive, with excessive backtracking and little variation. Players describe the experience as monotonous and directionless.
Gameplay:
The game heavily emphasizes survival mechanics, including hunger, exhaustion, infection, resource scarcity, and permadeath. Players must manage health, immunity, and limited supplies to progress.
The game offers three distinct playable characters (e.g., Bachelor, Haruspex, Changeling) with unique storylines, abilities, and societal interactions, encouraging multiple playthroughs.
Progression is primarily driven by quests and dialogue interactions with NPCs, featuring branching outcomes and unclear objectives. Players spend significant time talking to NPCs and traveling between locations.
Time is a limited resource, with mechanics like time-limited quests, daily tasks, and a 12-day progression system. Players must optimize routes and prioritize actions to avoid failure.
Players must manage food, medicine, weapons, and other supplies, often trading with NPCs or scavenging. Inventory space is limited, requiring strategic decisions about what to carry.
Performance:
Players frequently report lag, stuttering, and poor optimization, particularly on PC. The game is described as unplayably slow or 'buggy,' requiring frequent saving to avoid progress loss.
The save system is highly unstable, causing instant death on load, corrupted saves, and crashes. While there is no limit on save files, this can exacerbate performance issues.
The game has compatibility problems with modern operating systems and struggles on older hardware, though some players report it runs fine on Windows 7.
The PC version suffers from sound-related freezes, constant audio cutouts, and a lack of sound settings, severely impacting immersion and gameplay.
Players highlight weak collision detection, poor enemy AI, and flawed combat mechanics, making interactions and battles frustrating or unrealistic.
Recommendations:
The game is highly recommended for its deep, existential, and psychological storytelling, appealing to fans of philosophical themes, surrealism, and arthouse experiences. Players emphasize its unmatched narrative and thematic richness, often prioritizing story over gameplay.
The game is explicitly not recommended for those seeking immediate fun, traditional gameplay, or fairness. It is best suited for patient players who appreciate art, challenge, and unconventional experiences over conventional enjoyment.
New players are strongly advised to begin with *Pathologic 2* (or its remakes) for a more modern and accessible introduction to the series. The original is recommended only after experiencing the sequel or for series veterans.
The game is praised for offering an unparalleled, immersive, and emotionally impactful experience that stands out in the gaming landscape. It is often described as a cultural and artistic milestone in the immersive sim genre.
Due to the game’s complexity, players advise using walkthroughs, taking notes, and saving often to navigate its challenges. This mitigates frustration and avoids game-breaking progression issues.
Miscellaneous:
Players highlight the game's intellectual value, symbolism, and philosophical influences, often comparing it to a cult classic. Its themes and storytelling inspire deep reflection and even real-life tattoo ideas.
The game is set in a small Russian town or steppe during the early 1900s, which players frequently note for its atmospheric and immersive world-building.
The game is described as a 'living world' with surreal elements, often compared to a theatrical play or illusion, emphasizing its immersive and unconventional storytelling.
Players express strong emotional connections to the game, describing it as a work of art that evokes intense feelings and personal attachment despite its flaws.
Recurring themes include plague, survival, intrigue, and the meat industry, which contribute to the game's unsettling and thought-provoking narrative.