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Pathologic 3 Is not Nice on the Steam Deck

January 12, 2026
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The Pathologic collection hasn’t had a miss but, and that appears to proceed with Pathologic 3, with intriguing gameplay mechanics and an eerie sense of environment, backed up by an intricate storyline that weaves a story as you play. The sport simply launched, and we dived in to check out some first impressions of gameplay, in addition to the way it performs on the Steam Deck.

Pathologic 3 – Gameplay Impressions

Pathologic 3 does one factor very nicely, and that is make you are feeling immersed within the recreation world. And on condition that Pathologic 3 is a horror recreation, it is most likely factor that the world you are in is a fully horrible place that makes you are feeling on edge just about all the time you are taking part in.

You play as researcher/physician Daniil Dankovsky, who has arrived in a distant city to analyze stories of immortality, however quickly after, a plague sweeps by way of the city, wiping it out in simply 5 days. Whereas in earlier Pathologic video games, you begin at Day 1 and have to resolve issues on the fly to outlive, Pathologic 3 takes a unique stance and as a substitute introduces Time Journey, for higher or for worse.

My opinion on time journey in tales is often not very favorable; a number of the tropes concerned within the idea I discover very tiresome, however I really feel as if it is dealt with in a constructive manner in Pathologic 3. The target of the sport is to permit the city to outlive 12 days with out succumbing to the plague and its results, however you will not get it proper in your first time by way of, so you may must rewind time and alter your selections to attain the perfect consequence.

Pathologic3SteamDeck4

These selections all make up a tapestry generally known as the “Thoughts Map”, which helps you to see the place your selections led. It jogs my memory very a lot of the structure of Visible Novels, which let you return to sure selections you made and go down one other path to see the place it leads, and I like this gameplay function in narrative-focused titles, which Pathologic 3 definitely is. A story very a lot steeped within the occult and otherworldly phenomena.

Pathologic3SteamDeck2

Your time in Pathologic 3 can be a combination of managing the city and its decrees to make sure its survival from the City Corridor, venturing out into the city itself and all the hazards that lurk there, starting from the pretty mundane to the outright supernatural, and inspecting sufferers to convey you one step nearer to a medical breakthrough.

Pathologic 3 – Steam Deck Efficiency

Relating to Pathologic 3’s efficiency on the Steam Deck, issues do get a bit of extra disappointing, sadly. The controls work superb, and the sport does work on the Steam Deck, however efficiency simply is not in a position to attain acceptable ranges for me.

Should you should play on Steam Deck, these had been the perfect settings I discovered for a mixture of visible high quality and playability:

Pathologic3Settings1

Pathologic3Settings2

Pathologic3Settings3

For a recreation all about environment, it is important to have a minimum of a steady framerate, even when it is 30 FPS, however sadly, the efficiency is far and wide in Pathologic 3. Areas with heavy foliage appear to go down in the direction of 20 FPS, and when you attain the a part of the sport when the plague has overtaken the city, efficiency dips even additional, and you will be taking part in at nearer to twenty than 30, no matter graphical settings, because of the CPU and GPU combating for what energy the Steam Deck has.

The cutscenes additionally consistently stuttered and froze throughout my time taking part in, however a hotfix was launched after I used to be achieved taking part in, which I can verify has rectified this subject.

Pathologic3SteamDeck5

Pathologic3SteamDeck1

Should you loved this text, try the remainder of the content material on SteamDeckHQ! We have now all kinds of recreation evaluations and information that can assist your gaming expertise. Whether or not you are searching for information, suggestions and tutorials, recreation settings and evaluations, or simply wish to keep up-to-date on the most recent tendencies, we have got you lined!



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