A Lot or a Little?
What you will—and won't—find in this game.
Depending on the player's choices, the story can be bleak or hopeful.
Positive Role Models
As the prodigal son of a murdered village doctor, players define their moral alignment through difficult choices.
Ease of Play
Gameplay is challenging, but more accessible now thanks to the post-release addition of varying difficulty settings.
Violence & Scariness
The player can be attacked and can kill other characters; he can also perform autopsies, steal human organs, and drain human blood. Cutscenes show people being shot and burned alive, and dead bodies lie all over the village.
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Sex, Romance & Nudity
Some female characters appear topless or in revealing outfits.
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Infrequent swearing includes "s--t," "a--hole," and "bastard."
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Products & Purchases
Sequel to 2006's Pathologic.
Drinking, Drugs & Smoking
As the town medic, the player can make, take, and administer drugs. A tavern shows people drinking.
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Parents Need to Know
Parents need to know that Pathologic 2 is a downloadable single-player survival horror game for Windows PCs that's set in a small Russian town. The story involves a young doctor coming home to find his father murdered and the townspeople thinking he's the main suspect. The game features violence in the form of fistfights, knife-fights, shootings, and people being burned alive. The main character can also cut open human bodies and steal their organs and blood. An epidemic shows people starving, dying and suffering terrible pain, as well as being cruel to one another as conditions worsen. The storyline examines racism and superstition, and shows half-naked women who appear to have been beaten. There's some profanity in the form of “s--t,” “a--hole,” and “bastard,” and the main character can make, take, and administer morphine to others.
Is It Any Good?
This adventure game is tough and not for the easily frustrated, because even with newly-added easier difficulty levels, the challenge and the likelihood frequent restarts is high. Still, if you're up for a challenge, Pathologic 2 is one of the most interesting games you'll play this year. Young Russian surgeon, Artemy Burakh returns to the small Russian town where he was born to find the place grim and dark and the townspeople—even his old friends—suspicious and hostile. Worse yet, a mysterious illness is on the rise and food and medicine are scarce. The situation is desperate and creates the perfect testing ground for a young doctor who's also an emotionally ambivalent native son.
Of course, the hero's (and your) main emotion here is fear. The twilit village with its "orderlies" in plague doctor outfits, weird frog people who run the ferry system, scary kids, rampaging thugs, and witch women carrying cow skulls, is a nightmare in the making. Outright horror is everywhere, and fear colors your every decision. Do you use your limited medicine on a dying child or on yourself? Do you desecrate the dead if doing so means saving the living? Do you embrace the wisdom of your steppe ancestors or dismiss it as superstition? The mental anguish is tough to endure, but finding enough food, water, sleep, and medicine to keep yourself alive is the real challenge. Pathologic 2's depth of emotion is remarkable, mainly because it's not the sort of game you “win.” With limited time and resources, it's impossible to do everything, and you go in knowing some things (and some people) will be lost forever. On one hand, this is hard to accept. On the other, it's a great excuse for additional playthroughs. Mind you, it isn't meant for kids under 17. In spite of the game's meaningful themes, its nudity, drug use, profanity, and graphic violence make it one “thought buffet” that's meant for grown-ups only.
Did we miss something on diversity?
Research shows a connection between kids' healthy self-esteem and positive portrayals in media. That's why we've added a new "Diverse Representations" section to our reviews that will be rolling out on an ongoing basis. You can help us help kids by suggesting a diversity update.