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About Pathologic 3
Pathologic 3 is a psychological‑horror adventure where you assume the role of physician Daniil Dankovsky. A deadly contagion has struck a remote steppe town and you have twelve in‑game days to intervene, using observation, diagnosis and authority to shape events.
Your mental state fluctuates between apathy and mania, directly influencing how you interpret clues and which actions become available. Every minute counts as you balance patient care, decree enforcement and personal stability while searching for a cure.
01 / THE GUIDE
Twelve‑Day Countdown
The narrative is confined to twelve days, with an in‑game clock that tracks the passing time. Each minute that passes reduces the time you have to examine patients, travel, and issue decrees, making scheduling a core concern.
When the clock reaches the end of the twelfth day, the story concludes. Consequently, planning the order of tasks each day becomes essential to avoid missing critical opportunities before time runs out.
- Monitor the clock before starting a new activity.
- Sketch a rough daily agenda to keep track of priorities.
02 / THE GUIDE
Patient Diagnosis
Interaction centers on face‑to‑face examinations of sick townspeople. Each patient presents a personal story that may include omissions or falsehoods, requiring careful listening and note‑taking to separate fact from fiction.
Identifying the correct symptoms advances your progress toward a vaccine, while misreading a case can waste valuable time and delay your overall objective.
- Record each patient’s statements for later comparison.
- Look for recurring symptoms across multiple cases.

03 / THE GUIDE
Authority Decrees
You can impose measures such as quarantines, confiscating medicine, vaccinating the population, suppressing riots, deploying patrols, and declaring curfews. These tools let you directly influence the town’s condition and its response to the outbreak.
Each decree may unlock new decrees later, reflecting a branching structure where earlier choices affect what becomes available as the story unfolds.
- Review which decrees you have already used before selecting a new one.
- Observe any new dialogue or options that appear after a decree.
04 / THE GUIDE
Psychological Impact
Daniil’s mental state ranges from apathy to mania, directly influencing his actions and the way events are interpreted. Mood shifts may lead to new insights or increase the risk of fatal mistakes.
Staying alert to these changes helps you notice when a different perspective becomes available or when danger escalates.
- Pay attention to cues indicating a mood shift.
- Re‑examine earlier clues after a mental‑state change.
05 / THE GUIDE
Steam Achievements
Pathologic 3 includes Steam Achievements as a listed feature. These are awarded for meeting specific in‑game conditions, providing optional goals that can guide player focus without altering core gameplay.
Because achievements are tied to documented actions, they can serve as checkpoints for progress, encouraging players to explore different strategies or narrative paths.
- Check the achievement list to identify optional challenges.
- Use achievements as a way to test alternative approaches.





COMMUNITY
Player discussion