In Pathologic 3, you play as Daniil Dankovsky, a doctor called The Bachelor, who arrives in a remote steppe town hit by a deadly plague. With just 12 days to stop the disease, Dankovsky must diagnose patients, issue decrees to guide the town’s future, and uncover dark secrets. The surreal time management system, explained by Ice-Pick Lodge’s Nikolay Dybowski, brings a fresh twist to the series, letting you reshape the story where every choice matters.

Unlike Pathologic 2, which focused on the Haruspex, Pathologic 3 highlights The Bachelor’s intellectual approach, emphasizing medical strategy over combat, though the trailer teases tense moments with a pistol in infected zones.

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One big feature is that you can get out of your truck. You have to do tasks like hooking up trailers and refueling by hand, which makes the game more realistic. The truck’s cabin is interactive, so you can control things like starting the engine and turning on the radio just like you would in real life.

The changing weather and day-night cycle make each trip different. Rain, fog, and sunsets add to the game’s feel and realism. Whether you’re driving in the hot sun or during a storm, the game is full of adventure. You have to carefully load and distribute your cargo because the way you place it affects how the truck handles. Plus, in true Australian style, you can connect multiple trailers to make road trains, which adds more challenge and skill.

The game takes place in an Australia-like setting with lots of different areas to explore, from dirt roads to busy highways. You’ll see realistic traffic, interact with police, and come across random events like accidents, making the world feel real. You can also improve your character, earn licenses for carrying different types of cargo, and upgrade your trucks. If you like playing with others, there is an online co-op mode for up to four players.

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In Pathologic 3, players will once again find themselves in a small, remote town afflicted by a mysterious and deadly disease. This time, you take on the role of the Bachelor, the town’s doctor known for his tireless fight against death. Summoned to the town by the deceased Isidor Burakh, the Bachelor must navigate a deep mystery while striving not only to save the town but also to conquer death itself.

For the first time in the Pathologic series, Pathologic 3 introduces time travel mechanics. This allows you to revisit key events and change them to your advantage. Although you have only 12 days to save the town, this innovative feature gives you the freedom to explore and influence events, reshaping the narrative development in ways that have not been possible before.

Pathologic 3 retains the recognizable first-person gameplay style and will offer a bleak atmosphere of a tormented world on the brink of collapse. Additionally, the game will be available on Steam.

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