Pathologic 2
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Pathologic 2 is a narrative-driven open-world survival thriller set in a remote town gripped by a deadly plague. You play as Artemy Burakh, a surgeon known as the Haruspex, returning to his childhood home only to find his father murdered and the town collapsing into madness. You have 12 days to save as many people as possible, including your 'Bound' circle of friends, while managing brutal survival mechanics like hunger, thirst, exhaustion, and immunity. Every choice has consequences, and the game is designed to be a tense, high-stakes experience where you cannot save everyone.
Pathologic 2
Pathologic 2 is a narrative-driven open-world survival thriller set in a remote town gripped by a deadly plague. You play as Artemy Burakh, a surgeon known as the Haruspex, returning to his childhood home only to find his father murdered and the town collapsing into madness. You have 12 days to save as many people as possible, including your 'Bound' circle of friends, while managing brutal survival mechanics like hunger, thirst, exhaustion, and immunity. Every choice has consequences, and the game is designed to be a tense, high-stakes experience where you cannot save everyone.
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Get expert PC build recommendations at 1080p, 1440p, and 4K resolutions — with exact CPU, GPU, and RAM specs for smooth 60+ FPS gameplay.
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Pathologic 2 Gameplay Video
Pathologic 2 Key Specifications
| Specification | Detail |
|---|---|
| Engine | Unity |
| Genre | Survival, Horror RPG |
| Initial Release | 2019-05-23 |
| Developer | Ice-Pick Lodge |
| Publisher | tinyBuild |
| Setting | Town-on-Gorkhon (Industrial/Steppe hybrid) |
| Perspective | First-Person |
| Platforms | PC, PS4, Xbox One |
| Multiplayer | Single-Player Only |
| Unique Feature | Time-sensitive narrative where choices result in the permanent death of key characters. |
info_outline Note: Official PC system requirements. The game is known for its heavy atmospheric density and requires an SSD for the best experience to minimize stuttering between districts.
laptop_windows Laptop Performance Note: Laptop performance is heavily dependent on cooling. **Modern mid-range laptops (RTX 3060 Mobile / RTX 4050 Mobile) are recommended for a stable 60 FPS at high settings.**
info_outline GPU TGP: Moderate; the game relies more on lighting and atmospheric effects than high-speed action.
info_outline Cooling Thermals: The Unity engine's simulation of thousands of NPCs can cause the CPU to run hot.
info_outline CPU Power Limits: A strong multi-core mobile CPU is helpful for managing the AI-driven town economy and plague simulation.
info_outline MUX Switch Optimus: Recommended but not critical for this style of slow-burn survival.
build Optimization Note: Does not natively support DLSS/FSR in the base build, but external wrappers can be used. Volumetric Lighting and Particle effects (plague clouds) are the most demanding settings.
Pathologic 2 System Requirements
1080p
tune Minimum – Low/Medium Preset, 1080p
tune Recommended – High Preset, 1080p
Pathologic 2 Laptop Recommendations
memory Intel Core i7-12700H
developer_board NVIDIA GeForce RTX 3070 140W
storage 32GB DDR4-3200MHz
US $1349
Model: MSI Pulse GL66 with RTX 3070 and i7 12th Gen
memory CPU: Intel Core i7-12700H (Score: 900)
developer_board GPU: NVIDIA GeForce RTX 3070 (Score: 6600) @ 140W TGP
storage RAM: 32GB DDR4-3200MHz
save Storage: 1000GB NVMe
desktop_windows Display: 1920 x 1080 (FHD)
Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).
memory Intel Core i9-13900H
developer_board NVIDIA GeForce RTX 4060 140W
storage 16GB DDR5-5200MHz
US $999
Model: Acer Nitro V with RTX 4060 and i9 13th Gen
memory CPU: Intel Core i9-13900H (Score: 1058)
developer_board GPU: NVIDIA GeForce RTX 4060 (Score: 6700) @ 140W TGP
storage RAM: 16GB DDR5-5200MHz
save Storage: 512GB NVMe
desktop_windows Display: 1920 x 1080 (FHD)
Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).
memory Intel Core i9-14900HX
developer_board NVIDIA GeForce RTX 4060 140W
storage 32GB DDR5-5600MHz
US $1749
Model: Lenovo Legion Pro 5i (i9-14900HX, RTX 4060)
memory CPU: Intel Core i9-14900HX (Score: 1200)
developer_board GPU: NVIDIA GeForce RTX 4060 (Score: 6700) @ 140W TGP
storage RAM: 32GB DDR5-5600MHz
save Storage: 2000GB NVMe
desktop_windows Display: 2560 x 1600 (WQXGA)
Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).
memory Intel Core i9-12900H
developer_board NVIDIA GeForce RTX 3070 Ti 150W
storage 16GB DDR5-4800MHz
US $1397
Model: Asus Rog Strix Scar 15 with RTX 3070 Ti and i9 12th Gen
memory CPU: Intel Core i9-12900H (Score: 1030)
developer_board GPU: NVIDIA GeForce RTX 3070 Ti (Score: 7100) @ 150W TGP
storage RAM: 16GB DDR5-4800MHz
save Storage: 1000GB NVMe
desktop_windows Display: 2560 x 1440 (QHD)
Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).
memory Intel Core i5-12450H
developer_board NVIDIA GeForce RTX 3050 75W
storage 16GB DDR4-3200MHz
US $645
Model: HP Victus 15 with RTX 3050 and i5 12th Gen
memory CPU: Intel Core i5-12450H (Score: 628)
developer_board GPU: NVIDIA GeForce RTX 3050 (Score: 7220) @ 75W TGP
storage RAM: 16GB DDR4-3200MHz
save Storage: 1000GB NVMe
desktop_windows Display: 1920 x 1080 (FHD)
Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).
memory Intel Core i5-12500H
developer_board NVIDIA GeForce RTX 3050 Ti 80W
storage 16GB DDR4-3200MHz
US $710
Model: Acer Nitro 5 with RTX 3050 Ti and i5 12th Gen
memory CPU: Intel Core i5-12500H (Score: 633)
developer_board GPU: NVIDIA GeForce RTX 3050 Ti (Score: 7220) @ 80W TGP
storage RAM: 16GB DDR4-3200MHz
save Storage: 512GB NVMe
desktop_windows Display: 1920 x 1080 (FHD)
Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).
memory AMD Ryzen 7 7435HS
developer_board NVIDIA GeForce RTX 3050 75W
storage 32GB DDR5-4800MHz
US $799
Model: ASUS TUF A15 with RTX 3050 and Ryzen 7
memory CPU: AMD Ryzen 7 7435HS (Score: 1655)
developer_board GPU: NVIDIA GeForce RTX 3050 (Score: 7220) @ 75W TGP
storage RAM: 32GB DDR5-4800MHz
save Storage: 1000GB NVMe
desktop_windows Display: 1920 x 1080 (FHD)
Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).
memory AMD Ryzen 7 6800H
developer_board NVIDIA GeForce RTX 3060 140W
storage 16GB DDR5-4800MHz
US $1299
Model: ASUS ROG Strix G15 with RTX 3060 and Ryzen 7
memory CPU: AMD Ryzen 7 6800H (Score: 880)
developer_board GPU: NVIDIA GeForce RTX 3060 (Score: 7448) @ 140W TGP
storage RAM: 16GB DDR5-4800MHz
save Storage: 1000GB NVMe
desktop_windows Display: 1920 x 1080 (FHD)
Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).
memory AMD Ryzen 9 5900HS
developer_board NVIDIA GeForce RTX 3080 100W
storage 16GB DDR4-3200MHz
US $1489
Model: ASUS ROG Zephyrus G15 Ultra with RTX 3080 and Ryzen 9
memory CPU: AMD Ryzen 9 5900HS (Score: 820)
developer_board GPU: NVIDIA GeForce RTX 3080 (Score: 7904) @ 100W TGP
storage RAM: 16GB DDR4-3200MHz
save Storage: 1000GB NVMe
desktop_windows Display: 2560 x 1440 (QHD)
Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).
memory Intel Core i7-13620H
developer_board NVIDIA GeForce RTX 4070
storage 16GB DDR5-4800MHz
US $1350
Model: MSI Katana 15 with RTX 4070
memory CPU: Intel Core i7-13620H (Score: 843)
developer_board GPU: NVIDIA GeForce RTX 4070 (Score: 8700)
storage RAM: 16GB DDR5-4800MHz
save Storage: 1000GB NVMe
desktop_windows Display: 2560 x 1440 (QHD)
Meets criteria for tier: 1080p - Minimum (Low/Medium Preset, 1080p).
memory Intel Core i7-12700H
developer_board NVIDIA GeForce RTX 3070 140W
storage 32GB DDR4-3200MHz
US $1349
Model: MSI Pulse GL66 with RTX 3070 and i7 12th Gen
memory CPU: Intel Core i7-12700H (Score: 900)
developer_board GPU: NVIDIA GeForce RTX 3070 (Score: 6600) @ 140W TGP
storage RAM: 32GB DDR4-3200MHz
save Storage: 1000GB NVMe
desktop_windows Display: 1920 x 1080 (FHD)
Meets criteria for tier: 1080p - Recommended (High Preset, 1080p).
memory Intel Core i9-13900H
developer_board NVIDIA GeForce RTX 4060 140W
storage 16GB DDR5-5200MHz
US $999
Model: Acer Nitro V with RTX 4060 and i9 13th Gen
memory CPU: Intel Core i9-13900H (Score: 1058)
developer_board GPU: NVIDIA GeForce RTX 4060 (Score: 6700) @ 140W TGP
storage RAM: 16GB DDR5-5200MHz
save Storage: 512GB NVMe
desktop_windows Display: 1920 x 1080 (FHD)
Meets criteria for tier: 1080p - Recommended (High Preset, 1080p).
memory Intel Core i9-14900HX
developer_board NVIDIA GeForce RTX 4060 140W
storage 32GB DDR5-5600MHz
US $1749
Model: Lenovo Legion Pro 5i (i9-14900HX, RTX 4060)
memory CPU: Intel Core i9-14900HX (Score: 1200)
developer_board GPU: NVIDIA GeForce RTX 4060 (Score: 6700) @ 140W TGP
storage RAM: 32GB DDR5-5600MHz
save Storage: 2000GB NVMe
desktop_windows Display: 2560 x 1600 (WQXGA)
Meets criteria for tier: 1080p - Recommended (High Preset, 1080p).
memory Intel Core i9-12900H
developer_board NVIDIA GeForce RTX 3070 Ti 150W
storage 16GB DDR5-4800MHz
US $1397
Model: Asus Rog Strix Scar 15 with RTX 3070 Ti and i9 12th Gen
memory CPU: Intel Core i9-12900H (Score: 1030)
developer_board GPU: NVIDIA GeForce RTX 3070 Ti (Score: 7100) @ 150W TGP
storage RAM: 16GB DDR5-4800MHz
save Storage: 1000GB NVMe
desktop_windows Display: 2560 x 1440 (QHD)
Meets criteria for tier: 1080p - Recommended (High Preset, 1080p).
memory AMD Ryzen 7 7435HS
developer_board NVIDIA GeForce RTX 3050 75W
storage 32GB DDR5-4800MHz
US $799
Model: ASUS TUF A15 with RTX 3050 and Ryzen 7
memory CPU: AMD Ryzen 7 7435HS (Score: 1655)
developer_board GPU: NVIDIA GeForce RTX 3050 (Score: 7220) @ 75W TGP
storage RAM: 32GB DDR5-4800MHz
save Storage: 1000GB NVMe
desktop_windows Display: 1920 x 1080 (FHD)
Meets criteria for tier: 1080p - Recommended (High Preset, 1080p).
memory AMD Ryzen 7 6800H
developer_board NVIDIA GeForce RTX 3060 140W
storage 16GB DDR5-4800MHz
US $1299
Model: ASUS ROG Strix G15 with RTX 3060 and Ryzen 7
memory CPU: AMD Ryzen 7 6800H (Score: 880)
developer_board GPU: NVIDIA GeForce RTX 3060 (Score: 7448) @ 140W TGP
storage RAM: 16GB DDR5-4800MHz
save Storage: 1000GB NVMe
desktop_windows Display: 1920 x 1080 (FHD)
Meets criteria for tier: 1080p - Recommended (High Preset, 1080p).
memory AMD Ryzen 9 5900HS
developer_board NVIDIA GeForce RTX 3080 100W
storage 16GB DDR4-3200MHz
US $1489
Model: ASUS ROG Zephyrus G15 Ultra with RTX 3080 and Ryzen 9
memory CPU: AMD Ryzen 9 5900HS (Score: 820)
developer_board GPU: NVIDIA GeForce RTX 3080 (Score: 7904) @ 100W TGP
storage RAM: 16GB DDR4-3200MHz
save Storage: 1000GB NVMe
desktop_windows Display: 2560 x 1440 (QHD)
Meets criteria for tier: 1080p - Recommended (High Preset, 1080p).
memory Intel Core i7-13620H
developer_board NVIDIA GeForce RTX 4070
storage 16GB DDR5-4800MHz
US $1350
Model: MSI Katana 15 with RTX 4070
memory CPU: Intel Core i7-13620H (Score: 843)
developer_board GPU: NVIDIA GeForce RTX 4070 (Score: 8700)
storage RAM: 16GB DDR5-4800MHz
save Storage: 1000GB NVMe
desktop_windows Display: 2560 x 1440 (QHD)
Meets criteria for tier: 1080p - Recommended (High Preset, 1080p).
memory Intel Core i7-14700HX
developer_board NVIDIA GeForce RTX 4070
storage 16GB DDR5-5600MHz
US $1899
Model: Alienware M18 with RTX 4070
memory CPU: Intel Core i7-14700HX (Score: 860)
developer_board GPU: NVIDIA GeForce RTX 4070 (Score: 8700)
storage RAM: 16GB DDR5-5600MHz
save Storage: 1000GB NVMe
desktop_windows Display: 2560 x 1600 (QHD+)
Meets criteria for tier: 1080p - Recommended (High Preset, 1080p).
memory Intel Core i9-14900HX
developer_board NVIDIA GeForce RTX 4070
storage 32GB DDR5-5600MHz
US $1699
Model: MSI Creator M16 HX with RTX 4070
memory CPU: Intel Core i9-14900HX (Score: 1200)
developer_board GPU: NVIDIA GeForce RTX 4070 (Score: 8700)
storage RAM: 32GB DDR5-5600MHz
save Storage: 2000GB NVMe
desktop_windows Display: 2560 x 1600 (QHD+)
Meets criteria for tier: 1080p - Recommended (High Preset, 1080p).
-
Core Requirements
- desktop_windowsOperating System: Windows 7 / 8 / 10 (64-bit)
64-bit operating system required.
- memoryDirectX: Version 11
Required for the game's volumetric lighting and shaders.
- save_altStorage Note: 25 GB available space (SSD Strongly Recommended)
An SSD significantly reduces loading times when crossing between town districts.
settings_applications Optimization Notes:
Upscaling: Does not natively support DLSS/FSR in the base build, but external wrappers can be used.
Key Settings: Volumetric Lighting and Particle effects (plague clouds) are the most demanding settings.
Pathologic 2: Map Size and Regions
The Town-on-Gorkhon is a sprawling, atmospheric urban environment divided into three sections: The Earth (slums/working class), The Knots (residential), and The Stone Yard (elites). Surrounding the town is the vast, mystical Steppe and landmarks like the Abbatoir and the Polyhedron.
Pathologic 2: Post-Launch Content / DLC
The Marble Nest DLC (standalone expansion). Future routes for the Bachelor and Changeling were originally planned, with Pathologic 3 recently announced to fulfill the Bachelor's story.
Pathologic 2 Skills & Upgrades Overview
There is no traditional XP system. Progression is based on inventory management and surgical skill. You upgrade your clothing for better protection against infection and physical damage, and you upgrade your lab to brew more potent tinctures and antibiotics using organs harvested from corpses.
Pathologic 2: Game Editions
Standard Edition includes the main Haruspex route. The 'Marble Nest' DLC provides a standalone story following the Bachelor's perspective in a localized district.
Pathologic 2: Cross-Platform / Crossplay
Single-player only. Available on PC, PlayStation 4, and Xbox One.
Pathologic 2 Other Features & Info
- labelMultiplayer Modes
Strictly single-player. The game's oppressive atmosphere is built on the player's personal isolation and desperation.
- labelStory and Setting
You return to your hometown, the remote Town-on-Gorkhon, to take over your father's medical practice. The town is divided between the industrialist 'Utopians,' the traditionalist 'Kin' of the steppe, and the ruling families. A lethal epidemic, the Sand Plague, breaks out on Day 3. You must uncover the secret behind the plague while clearing your name of your father's murder.
- labelThe Haruspex's Lab
A central mechanic where you use a specialized still to mix 'Tinctures' from steppe herbs and 'Antibiotics' from biological samples. You can also perform autopsies to gather organs for research or trade.
- labelTop 3 Gameplay Mechanics
- 1. The 12-Day Clock: Time moves in real-time; you cannot be everywhere at once, forcing you to choose who lives and who dies. 2. Brutal Survival: Constant management of hunger, exhaustion, and immunity where failure leads to death or permanent debuffs. 3. Tincture Brewing & Surgery: A deep medical system involving herbalism and organ harvesting to combat the infection.
Pathologic 2 Frequently Asked Questions
-
help_outline Is Pathologic 2 a remake of the first game?It is a reimagining of the Haruspex's route from the original 2005 game, featuring updated mechanics, graphics, and expanded lore.
-
help_outline Can you save everyone?Technically possible but extremely difficult; the game is designed for players to fail and live with the consequences.
-
help_outline What happens when you die?The Theater Director, Mark Immortell, applies permanent penalties to your character, such as reduced maximum health or inability to hug NPCs.