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Pathologic 2

Developer: Ice-Pick Lodge Publisher: tinyBuild Games
23 May 2019
Pathologic 2 - cover art
Glitchwave rating
4.33 / 5.0
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388 Ratings / 1 Reviews
#15 All-time
#3 for 2019
Resist the plague. Make medicine. Heal people. Perform an autopsy. Trade to get what you need. Fight and kill if necessary. Survive. Struggle with an outbreak in a secluded rural town that is rapidly turning into hell. You can't save everyone.
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"Such is our town. You know it yourself: It's a very good village. Beautiful people live here, infusing it with a very spiritual dream. There's no real, villainous crime here. Even the rats and the thieves are softer."
Certain stories are so deep and strange that you just can't get them off your mind. When I played Yume Nikki as a teenager, I waited with baited breath every day to get off school and reenter that world of dreams. I've watched movies like Jacob's Ladder, Possession, and The Master many times each, trying to peel back their layers of mystery. Books like The Ark Sakura by Kobo Abe, Unclay by T.F. Powys, The Name of the Wind by Patrick Rothfuss, and Flowers in the Attic by V.C. Andrews have kept my eyes stapled to the page in wonder, dying to know what happens next. As I get older, fewer and fewer things manage to provoke this level of awe in me. So, I'm grateful Pathologic 2 summoned those feelings in me once again.

This isn't a game you can multitask-- there is no podcast that's appropriate to listen to in the background, no movie you can play in another window and commit half your attention to. Pathologic demands your full attention, so you can concentrate on the beautiful poetry of the dialogue (when a character informs you that they've "been to the river, spoken with the Changeling, seen the soldiers in the fog," my mind went to W.H. Auden, T.S. Eliot, and Dylan Thomas) bathe in the immersive atmosphere, and fully acquaint yourself with the many empathetically-sketched characters. Everyone will walk away from this game with a favorite character. For some it will be Murky, the lovable orphan girl, for some it'll be Daniil Dankovsky, the effete, cosmopolitan physician, for some it'll be gravel-hearted Lara Ravel, the prickly and beautiful childhood companion who dreams of establishing a sanctuary for the sick. But, whoever your favorite ends up being, you'll know it when it happens, even if you never could've predicted that it was going to be them. I like Murky, Lara, Aspity, Oyun, and Aglaya. This game has fantastic writing, in both its dialogue and its plot beats/quests, and the abundance of good words to read will, in the end, make you feel as if you've read some lost masterpiece by Kafka, Dostoevsky, or Bulgakov.

Culturally, this game is steeped in Russian literature and history, and admirers of the aforementioned authors will feel at home in its pessimism, melancholy, surrealism, and wry humor. Visually, it seems to take from the films of Andrei Tarkovsky and Aleksei German, those great Soviet-era film directors who looked at Russia's blasted landscapes and depopulated industrial zones and imagined a science-fictional world of the spirit, a psychic place where man constantly dreams and dreams again of a society better than all the ones we've managed to devise so far. You don't need a familiarity with Russian art and culture to play this game, but if you have a working knowledge of it, you'll be amazed at the way it continues and expands the work of those great artists of the past.

Something that particularly amazed me was the story it told of an indigenous man, Artemy Burakh, half white and half native to the Siberian steppe (or, rather, native to a thinly veiled composite of several indigenous Northeast Asian racial groups-- the Kin are a fictional tribe, but they are very believable, and closely modeled after real groups from Siberia and Mongolia). The white denizens of the Town fight for Artemy's allegiant soul, and the steppe-dwelling Kin do as well. The whites see him as a truant native man, and the Kin sees him as a prodigal son, a man aspiring to whiteness. His speech is peppered with the language of his indigenous heritage, and yet fewer and vanishingly fewer of those he speaks to can understand those words. I have never seen a smarter or more subtle depiction of race and colonialism in a video game.

And, of course, there is the disease pandemic, the "sand plague," as it's called in P2. Astoundingly, P2 was released mere months before the COVID-19 outbreak, and it's eerily prescient of the trials we face now. In P2, uninfected citizens will assure you that the sick aren't worth treating, since they're essentially already dead. This is a horrible reflection of our own world, where the elderly and infirm are used as bartering chips for our economies, where the most vulnerable among us are encouraged to lay their lives on the line to give money to corporations and to grease the wheels of finance. Let the old folks go to the Applebee's, they say-- Applebee's needs the money, and if the old folks die, it was their time.

This game was an independent production and has a few gameplay janks and quirks. Others have noted its poor optimization, and, indeed, its performance was choppy on my computer, stuttering and chugging along basically every time I played. That I stuck with it is a credit to its quality in other areas. Another flaw that I haven't seen others complaining about is its undercooked day/night system, which is a little unsophisticated and can cause storytelling and immersion problems. Many quests become unavailable at midnight, and while the pressure to start and finish quests in a timely manner usually added wonderful layers of suspense, on at least one occasion I would start a quest at 11:30pm, get halfway through it, and then watch helplessly as all the relevant NPCs vanished around me as the clock struck twelve, rendering the quest unfinishable. This is probably the biggest complaint I can file against Pathologic 2, and since it's a complaint that will ultimately encourage me to happily replay the game, I can't call it a major problem.

This is a smart and uncondescending game. It will not hold your hand or tell you how to win. It expects you use your mind and your creativity. If you do, you'll be rewarded. It is deep, immersive, emotional, and will stick with you for a long time.
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saltmarieceleste 2020-07-27T19:41:57Z
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Title
You did all you could. Only a miracle would help now. Do you want to administer a miracle?
There are some games that, while having some kind of cult status, I found ultimately disappointing. The usual case is the case of a game with great plot or themes, but abysmal gameplay that gets in the way of engaging with the former. Pathologic [Мор. Утопия] is sometimes considered to be an example, with others claiming it's just misunderstood, but at the end of the day it stays a very controversial and hard to judge in an unambiguous way game. Pathologic 2 is nothing like that. It is a meticulously composed symphony where every part works well to deliver the final result.

How it makes the player act - minor spoilers

It is the fifth day of my stay in this town, and the second day since the Sand Pest epidemic started. I do have some supplies stashed away at my place, but it's not nearly enough - some canned food, few bottles of water and a negligible amount of herbs. I could spend the day picking the steppe herbs, so that I can make more immunity-boosting medicine to prevent infection, or so that I can sell them for money, which could buy me some more food - and the threat of starvation is always at the doorstep. The time is ticking, and there is not enough.

Apart from securing the continued existence and functionality of my corporeal vessel, I have a personal investigation of mine to continue - which, for obvious reasons, has moved to the bottom of my priority list ever since the outbreak. I have also been entrusted with the care of a small group of local children. Shrewd and self-reliant they might be, the future of this Town is still helpless against the epidemic without my care. There are other people who, while not being bound to me in any meaningful way, also need my help against the plague - am I willing to sacrifice them so easily? It's easy to attach myself to children, adult-like they might seem, but I'm supposed to be a healer for everyone. One of just three operating in this town, supposed to help everybody - not just the ones I deeply care about. Even the ones I have a grudge with, like that stuck-up mayor or the local blood-sucking factory owner.

My main objective, trumping everything else, is finding a cure for the plague. Only one known so far is the "shmowder" - a mixture of random ground-up pills made by children during the previous outbreak 5 years ago. A scarce, insanely expensive cure, that isn't really supposed to work - and yet it does. While researching my panacea, I can't forget the ones hurting right here and now. Antibiotics, although unable to cure the disease, can sometimes postpone the inevitable just long enough to buy me time to acquire just one more shmowder or brew some panacea - provided I have the ingredients which are extremely limited and far between.

It is the fifth day of my stay in this town, and the second day since the Sand Pest epidemic started. Despite my best prophylactic efforts, two people under my care had become infected. First one is a childhood friend of mine, going under the nickname Bad Grief. A gang leader, but he seems to be a good person deep inside - or at least loyal. The other one is Notkin. Funnily enough, he's a gang leader too - but it's a children gang. Notkin himself is barely tall enough to reach my shoulders. Two infected, and only one shmowder, with no serum in sight yet.

Notkin has been entrusted to my care, and I'm responsible for him. Even if he does not see himself this way, he's still a child. A child placed under my care. He gets the shmowder. Bad Grief, a shadow of himself, a shivering, moaning, rag-covered figure, gets a hefty dose of monomycinium. A succesful treatment significantly lowers the chance of death. This will buy me some time, and hopefully Bad Grief will survive long enough for me to secure a second shmowder.

The following night, just around midnight, Bad Grief succumbed to Sand Plague. Not long after, I made my panacea. I was too late. Bad Grief was replaced by one of his gang members - a man with no soft edge whatsoever. a hardened criminal with a stone-cold heart.


Pathologic 2 is a game that excels at creating a vibrant, engaging atmosphere. It is the only game in my recent memory, with only exception being Disco Elysium, that managed to grasp me like that on every level of being. It got me absolutely hyperfixated, with play time reaching double digits in a matter of two days. I sunk into this game like a dinosaur caught by a tar pit. Why? How did this happen?

Although there are limits to how far I can deconstruct my personal experience with a work of art, with some things being buried into inaccessible realm of subconscious emotional associations and reactions, I can with a degree of certainty distinguish some of the elements that make the game work as well as it does.

The game makes you care. First, because of the permanent punishments that come with death, it makes you care for yourself. Secondly, because of the great writing, because of how much character they have, it makes you care for the NPC`s - and it's not just positive feelings it arouses.. The plot makes you care for the Town, and for the Kin, and for the mystical knowledge that you learn with time spent in this irrational environment

The game makes you not care. During the first day of the plague, enticed by the city authorities fund and still full of optimism, I was eager to ease the suffering of everyone I could, with what little medicine I had. No amount of antibiotics could cure anybody, but I could still give the people some hope. But then, day after day, I found myself surrounded by more and more infected people. lying on the streets, their numbers ever increasing. More and more people in the hospital until there is no place left to house the infected and they must be placed on the staircase outside. The streets depopulate and the more and more desperate conditions force you to triage, and to make tough decisions about how you are going to prioritize with what little resources you have.

How it makes the player think - major spoilers

The game makes you ask questions. Not just the obvious ones that come with the plot like who killed the father of Atremy Burakh? There are many significant themes running in parallel to the story. I will list a few of them to make my point, but do keep in mind that the list is not exhaustive and that the meanings are always a matter of personal interpretation.

It is, first and foremost, an examination of accelerated decomposition of society under an existential threat. While I personally believe that the Sand Pest outbreak has more parallels with Spanish Flu or The Plague, some parallels with the recent COVID-19 outbreak can be drawn. The pushback against the discipline imposed by the authorities, the urban tales and conspiracy theories spreading with the speed of light, the transition from rigorous regime of preservation of health to a tired resignation and indifference, and the other little things I won't list here.

One of the most important concepts in the steppe folk belief system is the idea of The Lines, invisible strings connecting the people into an interwoven web of mutual influence... And not just the people but the places, things and concepts too. A death of a person irrevocably severs not just the line of their life, but whatever Lines connected them with others too. The structure of the all-encompasing web is changed forever. The game made me think a lot about my relationships with other people, about how we connect with each other and how every connection is something radically new on ontological level, how every single person creates something completely different with their every single connection, how what the people are and what they make with other people is never static but ever changing with different relations... And how valuable, how sacred and important the Lines connecting us are - even if sometimes they have to be severed, and woven anew.

There is an exploration of existentialist themes too, but I found that even though Pathologic 2 did the best it could, the gameplay itself worked against the message it tried to convey. The theme of death specifically is approached from two angles.

The death of Self is a theme that, while receiving a lot of lip service, is not impactful. The designers really did the best they could, they tried really hard, and it shows. There are permanent punishments, there is a lot of dialogue concerning the topic, there is a feeling of constant threat. However, when all is said and done, it crashes against the wall of the structure of the medium of videogame itself. Death is always but a nuisance, a mild annoyance, and it can't be any other way in a medium allowing repeated engagements and infinite recurrence of the same. Even save file erasure wouldn't hit home in a world when you can always start a new one. The Death of the Self can only ever be some kind of vague threat or an event on the horizon, but can never be approached as the thing in itself.

The second kind of death is the one that is actually approachable and understandable in any way. There is the death of the Other, which, while being engaged with as a theme (including some immensely memorable moments), is something you quickly become desensitized to. While this is sort of the point in case of the general population, I feel like it is the result of underexploration in case of named NPC's. The dead are not missed in any way and their deaths are not really that impactful, except for locking you out of certain quests, dialogues and solutions - which you probably won't even notice. They sort of just disappear from the game, and all the recognition of the event seems very shallow. This is especially the case for the ending of the game - you simply get a generic copy pasted line of dialogue for each dead NPC - why not an epitaph of sorts? What do their relatives think? Will they be missed in any way? Was anything of value lost?

The game engages with the ideas of utopian thought and the cost of progress. The Kain family are the prime representatives of the game's vision of utopianism providing convoluted schemes meant to improve the human beings with architecture and intricate designs. All the out-of-place buildings in the Town are their doing. The most important one is the Polyhedron, looming over the entire Town like a harbinger of doom, and at the same time the promise of transcendence. It is the tower of children, letting them engage with ideas that elude the grasp of their parents, at the same time tearing them away from the parental embrace. It is a symbol loaded with potential for different readings, among them being an allegory of the generational replacement and the progressive ideals of youth, and how the young bring the change the old sometimes can't even understand. But then it comes clear there is a great human cost to the Polyhedron, and destroying it is crucial to defeating the plague. Are you willing to sacrifice human transcendence, whatever unclear shape it`s going to take, for the preservation as life? Or maybe the promise of Polyhedron is an empty one, and all the sacrifice would be for nothing? This clash is exemplified by the conflict of Haruspex, representing the Town, and the Bachelor wanting to preserve the Polyhedron at any cost.

I really enjoyed the metatextual, fourth-wall breaking motifs exploring the relationship between the player and the Artemy Burakh. Sometimes it's him that he's spoken to, sometimes it's you. This topic is approached many times throughout the game, and can easily be missed or dismissed as a gibberish talk meant to purely build the atmosphere of uncertainty. While the game provides no answers, it provides a lot of questions. Are you Artemy Burakh, are you playing Artemy Burakh, or are you playing the role of Artemy Burakh? While this is not the main topic of the game, it's always there in the background. After all, the game both starts, and ends, in the Theater, not the Town.

Conclusion

Aside from asking questions, the game is also a pretty good story that keeps you interested and engaged while retaining the atmosphere of mystery that makes you move forward, always throwing you enough breadcrumbs to keep you engaged. The music is fine, and it is utilized to a great effect in some pivotal moments - like the intro, showing you the consequences of your potential failure with great impact. One of the most memorable moments of the game, along with the theater Pantomimes.

Pathologic 2 excels in creating memorable moments like these. It trusts you to engage with it, and to take itself seriously, and it delivers you something exceptional in exchange. It immerses you into events and atmosphere of the Town and doesn't let go until the play is over and done. It demands a lot from you. It makes you stressed, it makes you angry, it makes you relieved, it makes you pensive, but most often it makes you regretful. It made me think, it made me feel, it made me hyperfixated.

Give it a try, and see if it vibes with you. Accept the consequences of your mistakes, immerse yourself, take this game seriously. It offers you something special in return.
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Margaritea 2022-11-01T14:58:23Z
2022-11-01T14:58:23Z
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Catalog

SneedDeck Pathologic 2 2023-02-04T00:09:15Z
Windows
2023-02-04T00:09:15Z
In collection Want to buy Used to own  
Gaytro Pathologic 2 2023-02-01T19:56:04Z
2023-02-01T19:56:04Z
5.0
1
In collection Want to buy Used to own  
3andnot2 Pathologic 2 2023-02-01T08:41:15Z
2023-02-01T08:41:15Z
In collection Want to buy Used to own  
1068396 Pathologic 2 2023-01-31T20:38:04Z
Windows
2023-01-31T20:38:04Z
In collection Want to buy Used to own  
TramSoy Pathologic 2 2023-01-30T15:33:34Z
2023-01-30T15:33:34Z
In collection Want to buy Used to own  
bbgn Pathologic 2 2023-01-30T11:45:05Z
2023-01-30T11:45:05Z
In collection Want to buy Used to own  
dissonine Pathologic 2 2023-01-30T04:58:14Z
2023-01-30T04:58:14Z
In collection Want to buy Used to own  
swineherd Pathologic 2 2023-01-29T17:01:55Z
2023-01-29T17:01:55Z
In collection Want to buy Used to own  
8mm Pathologic 2 2023-01-28T20:41:15Z
2023-01-28T20:41:15Z
4.0
In collection Want to buy Used to own  
dolu Pathologic 2 2023-01-27T02:12:04Z
2023-01-27T02:12:04Z
In collection Want to buy Used to own  
StretchOutAndWait Pathologic 2 2023-01-26T22:15:33Z
2023-01-26T22:15:33Z
In collection Want to buy Used to own  
johnny_providence Pathologic 2 2023-01-25T18:44:26Z
2023-01-25T18:44:26Z
In collection Want to buy Used to own  
Player modes
Single-player
Early access date
30 aug 2018
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  • Previous comments (77) Loading...
  • Bashkesh 2022-11-17 21:56:26.992851+00
    Games like this and disco elysium are truly redefining what it means to experience and interact with the most interactive art form, absolutely need more like this
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  • fade_away 2022-11-29 17:04:45.254959+00
    Couldn't really get into patho/the void enough to learn them, but I'm still interested in giving this a shot if it's gameplay is more approachable; the atmosphere in these games is unparalleled
    reply
    • Vayy 2022-12-05 11:32:19.036727+00
      100% give it a try, it's way more modernized and easy to grasp compared to patho 1 and the void (though ofc its still brutally hard and quite punishing - this time in a more engaging way)
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  • Falltop 2022-12-06 04:45:04.853203+00
    this game wasnt brutal lmfao as soon as you get past day 4 and understand which meters to prioritize the game is not that difficult
    reply
    • royalheap 2022-12-08 01:34:27.171018+00
      the curveballs the game hits you with on some of the later days can be brutal though, specifically day 10
    • cringeybabey 2023-01-20 06:34:56.875569+00
      if you just don't care about all the missed opportunities and character deaths then yeah, I guess this game isn't that hard?? (assuming you played on inigo or whatever the fuck it's called)
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  • Robo1662 2022-12-11 17:13:39.36676+00
    the section in the abattoir was superrrrr trippy, probably my favorite setpiece in the game so far. my mouth sat agape for the entire section tbh LOL
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  • Stabbed 2022-12-26 03:14:22.995601+00
    once this gets Bachelor and Changeling added in 2037, this will be the undisputed best game ever made
    reply
    • oculi 2023-01-12 14:46:51.735305+00
      i'd say it's already that, it'll just be even better!
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  • scoobydoo19 2023-01-15 23:14:05.533916+00
    The gap between its formal critic reviews and community status is kinda crazy. The Wikipedia page casually reads like it’s random east european shovelware and not a monstrous video essayist cult classic
    reply
    • prenton 2023-01-28 18:17:14.252924+00
      Pathologic and Dwarf Fortress were always the two games which were massive cult classics which had dedicated fan based who’d for years celebrated them as being amongst the most ambitious and innovative games of all-time, but which most critics seemed to play about 5 minutes of and then write a very general review of.

      Reading critics reviews of the original Pathologic and the “classic HD” re-release was always very telling, because of the way the game subverts so many of the standard mechanics and game design choices it starts with as you arrive on town on day 1.

      You can see very clearly that most critics never played past day 2 or even day 1 or the Bachelor scenario, let alone playing all 3 scenarios, in their reviews as they spend half the review making out it’s a murder mystery game trying to figure out who murdered Simon Kain. When that’s just the tutorial mission in day 1 of one character. Then they never mention anything about the plague even appearing in town on day 3 and how that dramatically shifts the game world nor ever discuss any of the political satire or satire on the gaming industry that appear in Haruspex and Clara’s scenarios respectively. Not do most of them ever mention the barter economy or the FPS mechanics, despite the fact you usually end up using that quite a lot in late game.

      Not saying everyone has to enjoy the game the same way or can’t decide to put a game down they don’t like. But for a paid critic whose job it is to review video games to make it pretty clear they never even got past 2/36 days of the game always struck me as a little odd.

      Always got the feeling from critics it kind of went “ahh, here’s some random game from Eastern Europe. Played about with it for an hour, didn’t understand it, let’s just write some review about the talking on day 1 and maybe mention it’s a bit like STALKER or Metro because they’re from ex-USSR countries and stick a 6/10 on it, no one will ever play it anyway….”
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  • cringeybabey 2023-01-26 04:46:22.909835+00
    I knew I would like this, but I did not expect it to grip me like it did. This game is so fucking innovative.
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