[[quoteright:250:http://static.tvtropes.org/pmwiki/pub/images/pathologic_game_cover_5522.jpg]]

->''"You can escape anything, even the punishing hand of the Inquisitor...but [[YouBastard you can't escape yourself]]."''

A 2005 game, the debut of the small Russian indie game developer Creator/IcePickLodge. As for its genre... [[GenreBusting ummm]]...

''Pathologic'' is set in a town in the middle of nowhere, and infected by a strange disease. The game follows the story of three people, healers, who have all come to the town for their own reasons, and have drastically different methods. However, just as you arrive, an epidemic starts, and the town is quarantined. At that point, the game puts you in control and gives you 12 in-game days to do quests and protect yourself and others from the disease, by some very dubious methods.

The first storyline is that of a young Bachelor of Medicine, Daniel Dankovski, who has been asked to come to the town to scientifically establish that one of the residents is over two hundred years old. However, the man dies as soon as he arrives and Dankovski is strong-armed by the local aristocrats into using his skills and equipment to research the plague. He quickly becomes buried in their intrigues.

The second storyline is that of a Haruspex, Artemii Burakh, (pronounced "ahr-TYEH-mee BOO-rakh", with the "kh" sound like the "ch" in Bach or loch). He is one of very few people allowed the knowledge and right to cut open dead human bodies. His father shared his profession and lived in the town, but died recently, and his son was called to take his father's place. However, the people believe that he killed his father, forcing him to dodge angry mobs.

The third storyline is that of Klara, the Devotress, the young woman who many believe is either a messiah, or a demon. She is able to either heal a person or utterly destroy them with a gesture of her hands. Mysterious and with an unclear past, she nevertheless performs her deeds in the certainty they will benefit...something.

There are three main families in the game, all in some way fighting against each other for the control of the town. Other than them, there are [[LoadsAndLoadsOfCharacters loads and loads of other characters]], all somehow related to the story.

The game received many good reviews praising its atmosphere and picked up dozens of awards in its native country. Sadly, the English translation was [[BlindIdiotTranslation absolutely incomprehensible]], which, coupled with the developer being practically unknown outside Russia, resulted in poor sales. (Though retranslation projects have been planned, none were ever finished.) This is not a game for everyone. As with many SurvivalHorror games, ''Pathologic'' has no parts that can really be considered conventionally "fun". From a technical standpoint, it didn't age well, and there's a lot to take in in order to master its brutally complex mechanics. It is, however, a very powerful, emotionally draining experience, and not to be missed.

Ice-Pick Lodge had started a Website/{{Kickstarter}} campaign to [[https://www.kickstarter.com/projects/1535515364/pathologic create a remake]] of this game in September 2014. This remake aims to improve the translation, graphics, quest structure, and several other aspects while striving to maintain the atmosphere, themes, and overall storyline.

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!!This game provides examples of:

* AcceptableBreaksFromReality: The game notably averts most of these. Many of the gameplay mechanics are surprisingly realistic - the InUniverseGameClock is a [[TimedMission major constriction]] and is constantly ticking, enemies take few hits to kill but ammunition is scarce, using weapons or wearing clothes decreases their (very limited) durability, being StupidEvil and reducing your KarmaMeter will get you killed, etc. This may be one of the many reasons why the game is [[NintendoHard maddeningly difficult]] and no part of it is described as "fun", even by fans.
* AdamSmithHatesYourGuts: Justified by the epidemic and supplies not coming into the isolated town anymore. Fortunately, the value of your items and the quest rewards scale as well. Also inverted on occasion, where prices will sometimes ''decrease'' on the next day. Increases are far more common, though.
** KarlMarxHatesYourGuts: All shopkeepers except Gryph and the barkeep for Stamatin's pub have the exact same prices for their wares, and ''your'' items will always sell for half the price it takes to buy them.
* AlienGeometries: The bizarre Polyhedron at the edge of the city.
* AloofDarkHairedGirl: Maria Kain, resident haughty, cold and aloof FemmeFatale.
* AnachronismStew[=/=]CultureChopSuey: The world of the game bears resemblance to a [[SettlingTheFrontier typical Siberian outpost city]] of TsaristRussia, circa the WorldWarOne period. But there are several much more modern elements present, especially in terms of clothing and medicine. Not to mention the many LowFantasy elements, the [[MagicRealism strange]], [[PurelyAestheticEra timeless atmosphere]] and the fact that [[AerithAndBob about a third of the characters have decidedly non-Russian names]]. Essentially, the setting itself is as enigmatic as the cause of the disease and the [[{{Backstory}} backstories]] of the various characters.
* AnotherSideAnotherStory: All three main characters have their own agenda.
* AntiHero: Most characters, including the playable ones. Particularly the Haruspex, though, who even starts out with [[HeroWithBadPublicity critically low Reputation]].
* AnyoneCanDie: In this case, Anyone Could Die based on your actions.
** Though, more specifically, only the characters who would "give their life to you" will "die because of you". Each player character has a set of named [=NPCs=] that are important in their tale, and who will live or die based on what the player does.
* ArchEnemy: Professor Tehlmann, mentioned in the letter in the first day of Dankovski's scenario, who is a bitter enemy of Dankovski and his laboratory "Thanatica".
* ArrangedMarriage: [[spoiler: Is promised for Capella and Khan, who are from Kain and Olgimskiy families respectively.]]
* BackStab: Doing this with any melee weapon (any ''actual'' weapon, that is, not your fists) will result in a OneHitKill. Just hitting the person's back isn't good enough, though; you need to hit a ''very'' tiny area located around the base of the neck.
* BadassLongcoat: Dankovski. Also, damn near everybody who wears a longcoat.
* BeautifulVoid: [[spoiler:Day 12.]]
* BettyAndVeronica: The {{Player Character}}s do not engage in romance during the game, exactly, but there is stated attraction or affection for each one from two individuals, one lawful and virtuous and one more morally grey.
** Eve and Maria for the Bachelor.
** Ospina and Aglaia for the Haruspex.
** Block and Griph for the Devotress.
* {{BFG}}: [[spoiler:The army's cannons used in the ending scenes are ''fucking giant''. And they're mounted on railroad tracks!]]
* BlindIdiotTranslation: ZigZagged -- the English language translation is very spotty. At times, it's a train wreck, at other times it's decent, and every now and then the incomprehensibility will actually add to the atmosphere. However, it can make it hard to know what to do. (The worst errors are in Day 3 and Day 6 in the Bachelor's scenario, as well as a letter on Day 12.)
* BoomHeadshot: It's usually a OneHitKill. Try to get the hang of it, since anything that conserves ammo (see below) is a very useful technique.
* BossBattle: Exactly one, and it isn't even necessary to progress the plot -- [[spoiler:Oyun]] in the Haruspicius' scenario, if you discover that [[spoiler:he killed Artemiy's father]].
** Arguably, there's also [[spoiler:the hunchback and [[FlunkyBoss his squad of arsonists]]]] in the Bachelor's scenario, though he isn't much tougher than a regular enemy. And again, it's [[BonusBoss optional]].
* BossInMookClothing: The [[spoiler:rebel soldiers]]. They're the only enemies in the game who use firearms -- and, unlike in most video games, they're [[OneHitKill just as deadly]] as in RealLife. Fortunately, they only appear in a select few quests towards the end, but when they do, they appear in droves, requiring ''extremely'' careful or quick sniping to dispatch.
* BottomlessMagazines: [[AvertedTrope Forget it]]. Ammo is scarce.
* BreakableWeapons: All weapons have 'durability' scores that go down when you use them. Though weapons can still be used even at 0% durability, the game averts CriticalExistenceFailure; melee weapons will dull and deal less damage, and ranged weapons will become less accurate. Fortunately, you can repair weapons for a modest sum by talking to a certain type of {{NPC}}.
** Equipment also has a durability score that goes down the longer it's worn, though it seems to play CriticalExistenceFailure straight.
* BreakingTheFourthWall or NoFourthWall: Depends on how you look at the theater themes present in the game's narrative.
* TheCaligula: Nina Kain, deceased mother of Maria, often acted this way, though she still was beloved and respected by the Town's people.
* CentralTheme: Sickness and decay, both in the physical and metaphysical sense, are the most obvious ones. Though the theme of sacrifice - that everything comes at a price - is also important.
** The former is present throughout much of the gameplay: Despite being healers, the three playable characters have to cause a lot of death, and their morals (and general well-being) decay along with those of the towns' inhabitants.
** The latter is especially prevalent in [[spoiler:the MultipleEndings -- there is no truly "perfect" or "good" ending. All three of them are a trades that require the sacrifice of one thing to save another. You have to decide for yourself which one is most suited to you.]]
* ChangingClothesIsAFreeAction: Although the inventory menu is the only one to avert MenuTimeLockout, your character still puts on/removes clothing instantaneously. Yes, even a ''plague mask''.
* CharacterDevelopment: UpToEleven with EVERY. SINGLE. CHARACTER. Even the bystanders have impressively realistic and interesting personalities.
** DevelopingDoomedCharacters: Well, they are not exactly doomed - their fate depends on your actions.
* AChildShallLeadThem: [[spoiler: If you choose Haruspex's ending, his Adherents - the town's children - will be the future of the city.]]
* ChildrenAreInnocent: [[PlayingWithATrope Played with]] [[{{Deconstruction}} to hell and back.]] The kids in this town see a lot, know more, and have their own baffling rituals and motivations.
* CityOfWeirdos: Certainly a town being ravaged by plague is going to have its civic order break down, but it quickly becomes clear that the town was on the far end of the bizarre meter long before you arrived. The sickness is just making the weirdness slightly more visible.
* CityWithNoName
** IAmNotShazam: Some reviewers referred to the town as "Ancient Steppe". While this title is mentioned a couple of times [[AllThereInTheManual in the manual fluff]], the Ancient Steppe is simply the name of the surrounding steppe region. [[BuffySpeak 'Cause... you know...]] [[CaptainObvious it's a steppe.]]
* CloserToEarth: Compared to [[JudgeJuryAndExecutioner what we]] [[UtopiaJustifiesTheMeans hear of]] [[AllCrimesAreEqual the other Inquisitors]], [[spoiler:Aglaja]], the only female Inquisitor we know of, is extremely fair, kind, and reasonable. (Only ''relatively'', though -- she's still quite terrifying in her own right.)
** The [[RuleOfThree trio]] of "aristocratic women" (Lara, Julia, and Anna) are also portrayed as much more level-headed and trustworthy than the actual ruling families, who are primarily male.
* CombatMedic: All three main characters can use painkillers and bandages to heal themselves and other characters. Artemiy can also dissect corpses and make drugs from tvirinum and organs.
* CosmicHorrorStory: Of a rather unusual kind, but it still shows.
* CosmicPlaything: [[FridgeHorror Everyone]], including the player character.
* CreepyChild: Laska. Ospina, too.
* CriticalExistenceFailure: Limping around and heavily bleeding from innumerable bruises and cuts? No problem -- you'll still be able to walk, aim, and fight exactly as well as when you're at 100% health. This wouldn't normally be that notable if it wasn't for the game's otherwise [[AcceptableBreaksFromReality strict adherence]] [[AvertedTrope to realism]].
** Somewhat averted with the exhaustion and hunger meters: though you won't feel any adverse effects from them until they reach 100%, once they do, your health will begin to drop instead.
** Completely averted with the infection meter, though: the higher it gets, the faster it'll rise, the quicker you'll lose health, and the more disorienting the InterfaceScrew will be every subsequent time you're infected.
** Averted with [[BreakableWeapons weapon durability]]. Melee weapons will get weaker with less durability, and ranged weapons will become less accurate.
* CultureChopSuey: Culture of the game's country is close to late TsaristRussia, with many elements of modernism style in architecture, names are vaguely-Slavonic, and culture of Steppe is similar to one of native Siberians, Mongolians and Buryats.
* CutsceneIncompetence: At one point, you enter a dungeon reasonably well-armed and with a killing score comprising of dozens of thugs. Then a handful of unarmed mooks approach you and beat the PlayerCharacter into a pulp while you watch helplessly.
* CutscenePowerToTheMax: Subverted. The opening cutscene of Artemiy's scenario shows him beating a group of armed muggers to death with his bare hands...however, once gameplay starts, it becomes apparent that the battle took its toll on him, as his LifeMeter is at critical levels.
* DarkerAndEdgier: One review called Pathologic "''[[VideoGame/TheElderScrollsIVOblivion Oblivion]] with cancer, in a good way.''"
* DarkWorld[=/=]GeniusLoci[=/=]WorldGoneMad: Which one depends very much on how you look at it. And they're not mutually exclusive.
* DaylightHorror: Absolutely. Could very well be the best example of this trope when it comes to video games.
* DeusExMachina: Some see [[spoiler:the Devotress' ending]] as this, since [[spoiler:Klara]] describes it as a perfect solution, preserving both [[spoiler:the Polyhedron]] and [[spoiler:the town]], seemingly nullifying the importance of the other options, which have to [[spoiler:sacrifice one or the other no matter what]]. However, this is subverted once [[spoiler:you actually play the Devotress' scenario, and discover that her solution [[PoweredByAForsakenChild isn't as wonderful as it first appears]]]].
* DialogueTree
* DieselPunk: The town's architecture, aesthetics and level of technology evoke this, [[UsedFuture in a very dreary fashion]].
* DiscOneNuke: It's possible to get a gun and a decent amount of bullets on the first day in both the Bachelor's and Haruspicius' scenarios. This will go a long way towards helping you to survive encounters with relative ease, and you won't get any more guns until day 3 or 4.
** In the Bachelor's scenario, one reward for a sidequest on day 4 is a repellent cape, one of the best pieces of equipment in the game. Normally, the cape doesn't appear in shops for ''three more days''.
* DownerEnding: If you refuse to make a decision on the final day, or fail to complete the game properly, you get treated to [[spoiler:a horrific montage of the town overcome by the plague, right before the army comes and destroys everything]].
* PaleSkinnedBrunette: Maria Kain, Katerina Saburov and deceased Nina Kain.
* EldritchAbomination: [[spoiler: Albino]]. It's not evil, '''BUT WHAT THE HELL IS IT?'''
* EldritchLocation: ''A lot of them.'' Including the town itself. But the "[[BedlamHouse Apiary]]", the [[AlienGeometries Polyhedron]], and the town's gigantic Abattoir take the cake.
* EmpathicHealer: How the Devotress' HealingHands work.
* FanTranslation: [[invoked]] One that tries to fix the BlindIdiotTranslation, [[http://ice-pick.com/translate/forum/index.php here.]] (One of the developers is even part of the project!) It's been "in progress" for [[DevelopmentHell half a decade]], though. Don't count on it being finished any time soon.
** There was another fan translation on Reddit and a patch was released [[http://meradorm.tumblr.com/post/81953498762/pathologic-fan-translation-alpha-patch-very which can be downloaded here.]] It only covers about 10 - 20 percent of the game, mostly the crucial parts like the letters and diaries. The translator, meradorm, decided to halt the project after IPL announced there would be a remake (which was to be crowdfunded); because they figured that a lot of people would donate to the Kickstarter just for the chance to play Pathologic in proper English.
* FantasticDrug: Tvirinum.
* FemmeFatale: Maria Kain.
* FindTheCure: Your goal, as well as trying to hinder the spreading of the disease (and despair) among the surviving people.
* FireBreathingWeapon: The army that arrives in the city at mid-point in the game's story includes a [[http://www.mobygames.com/images/shots/l/265451-pathologic-windows-screenshot-an-army-checkpoint-set-up-on.jpg creepy-looking squad of men armed with flame-throwers]]. Since the army arrived to ensure the area is quarantined and to keep the plague from spreading... [[ItsTheOnlyWayToBeSure it's not hard to guess who their targets would have been.]]
* FireForgedFriends: Dankovski and Andrei Stamatin fought together during some unexplained revolt when they were university students.
* FiringOneHanded: Every weapon except the rifle. Yes, even the SawedOffShotgun.
* FlatEarthAtheist: Well, more like flat-earth ''materialist''. The Bachelor is very confused by the town's supernatural activities and unsuccessfully tries to find scientific explanations for them.
* FragileSpeedster: The marauder enemies. They're extremely agile and skilled in melee combat (traits bolstered by the fact that you fight them in small, cramped rooms), but can be killed with a single rifle shot anywhere on their body.
** A weapon example is the revolver. It's relatively weak and pretty inaccurate, but its large magazine size allows you to fire multiple bullets in quick succession -- useful for dealing with large mobs before you get the shotgun.
* FriendInTheBlackMarket: Griph is one to the protagonists.
* FriendToAllChildren: The whole town mourns Simon, but children are especially sad, crying that "The Grandpa" died.
* FromBadToWorse: The infection and the town's attempts to combat it. And the Executors are harbingers of despair. If you see one, be prepared for some very bad news.
* GaiasVengeance: [[spoiler:The infection is spreading because the ''land'' is either sick or enraged. Different people have different theories.]]
* GainaxEnding: No matter which one you get, it's going to make your brain blow a circuit.
* GambitPileup: Every character has his\her own agenda, secrets and plans. UpToEleven in the Bachelor scenario, who has to deal with the endless political scheming of ruling families more than other two protagonists.
* GatelessGhetto: Avoided. Most of the houses can be broken into. All you need is a lockpick.
* GeniusBruiser: Artemiy. Burly and taller than the other player characters, and an excellent hand-to-hand fighter, but he's also an alchemist and something approaching a shaman.
* GettingCrapPastTheRadar: Dankovsky to Saburov: "But I need the dead tissues not [[ILoveTheDead for entertainment]], but for struggle against the illness!"
* GlassCannon: The arsonist enemies. Their firebombs can deal high amounts of continuous damage, and have long range, but they have just as much health as regular townspeople, meaning they can be killed with a single rifle shot.
* GoldenEnding: [[spoiler: Sort of. If you manage to save everybody's adherents during a playthrough, at the end sequence you get to choose between the three endings listed below. ''[[NintendoHard Doing this is very hard]]''. You get some extra Fourth Wall Breaking scenes from the theater too.]]
* GoodOldFisticuffs: Your basic weapon, and an EmergencyWeapon at best.
* GreyAndGrayMorality: The line between good and evil is chillingly thin, hard to discern and easy to cross in this game.
* GuideDangIt: A lot of sections, especially the effects of items -- only a few actually have helpful descriptions, and there's almost no way beyond laborious experimentation to tell which foods are most efficient (bread and smoked meat, by the way). Fortunately, there ''is'' an [[http://www.pathologic-game.com/path_walkthrough_eng.pdf official guide]] that is very helpful.
** There is a specific example that the walkthrough doesn't help with due to a wonky translation -- in day 7 of the Bachelor's scenario, there's a sidequest that involves [[spoiler:collecting the mask and overall of an Executioner]]. However, there's a very narrow window of time for it to actually trigger -- you need to talk to Mark Immortal after performing the penultimate step of the day quest, but before actually completing it. Semi-justified, since the sidequest relates to the day quest, but it's still bothersome that the game doesn't tell you this anywhere.
** Even more specifically (also due to translation weirdness), there's one that's a GuideDangIt within ''the official guide itself''! In the section describing the aforementioned quest, the guide mentions that [[spoiler:the overall]] is in [[spoiler:a "pit" that's "opposite of the cemetery"]]. These are pretty confusing directions -- what it's actually referring to is [[spoiler:a small, rectangular morgue that's on the other side of the train tracks, across from the cemetery]].
* HarmfulHealing: The childrens' powder is one of the very few ways to [[spoiler:reduce your infection level]], but it takes ''a lot'' of health (around 90%). Considering what it's made of, it's a miracle it can do even that much good.
** There's "harmful buffing" as well, of sorts - many medicines that boost your immunity have an adverse effect on your health and exhaustion as well, though not nearly to the extent of the powder.
** Though the powder is perhaps the most prominent example, due to the game's multiple survival meters, this happens for most healing items. Usually, something that restores one bar will reduce the other -- for example, eating lemons will decrease exhaustion and increase immunity, but it'll also increase your hunger. Painkillers will allow you to gradually regenerate health, but greatly increase exhaustion. And so on...
* HaveANiceDeath: When you die, you get a short cutscene with the Executioner and Tragedian symbolically playing out your death scene on the stage of the theater.
* HealingFactor: Taking painkillers will cause you to regenerate health over time. It's very slow though; don't rely on it. They're best used right before sleeping, especially since [[HarmfulHealing they shoot your exhaustion through the roof as well]].
* HealThyself: You'll be doing that a lot. The only means of restoring your health, though (the actual health, not the infection level), are rest and...''bandages''. That's right, you can remove the symptoms of almost anything with a couple of bandages. Perhaps it's not about healing the injury as it is about keeping your body functioning by any means.
* HealingHands: The [[SquishyWizard Devotress']] hands, apparently. Also a subversion, since she can [[LittleMissBadass incapacitate or even kill]] with them via her PsychicPowers.
* HellBentForLeather: Dankovski's snappy leather gloves and snake-skin coat. He is even called in-game by some "that dandy from the capital."
* HeroicSacrifice: [[spoiler:Most of Klara's Adherents, if you choose her ending.]]
* HeroWithBadPublicity: All of them.
** Artemiy starts the game wounded, weaponless and with a very low reputation (due to the accusation of being his father's killer). The first challenge in playing his character is basically restoring his reputation to a bearable amount while not getting killed by the CityGuards, who will hunt him down at first sight.
** Dankovski, outside of the town, is condemned and persecuted for his unethical experiments by authorities, press and his personal enemies among other scientists. The town's inhabitants are superstitiously wary of his comparatively modern methods.
** Klara is mysterious, has unclear origins, and must contend with extremely bizarre rumours about her nature and actions.
* HobbesWasRight: The overall decay of both the city and human society within is [[PsychologicalHorror downright disturbing]]. ''[[{{PlayingWithATrope}} But]]'', the more you explore and learn of the city's mysteries, it's hinted at that:
** RousseauWasRight: [[spoiler:There is [[NoAntagonist no villain in the classic sense]]. And as unpleasant as things turn out, everything is the result of [[WellIntentionedExtremist good intentions gone wrong]]. The bandits in the streets are just trying to feed their families. The arsonists are trying to rid the town of the plague. [[AntiVillain Just because they try to kill you doesn't make them evil]].]]
* HumanoidAbomination: Worms, a.k.a. Odong. Though they speak like humans, and their bodies and most of their faces are hidden by their clothing, what we see is very hard to consider entirely human.
* TheIgor: Andrei Stamatin, though he assists not a MadScientist, but Mad Architect.
* ImmortalitySeeker: Dankovski is a rare heroic example. It doesn't come up much, but it was why he came to the town in the first place.
* ImprobableAimingSkills: Despite (presumably) never having held a gun before the game begins, the three healers become remarkably adept with their weapons as soon as they pick them up.
* InfantImmortality: [[JustifiedTrope Justified.]]
* InkSuitActor: Most of the main character {{NPC}}s have faces identical with their small photo portraits seen in the conversation menu. [[EasterEgg Some of the actors used for the photos are members of the dev team]] (e.g. Artemiy's portrait shows one of the game's writers).
* InsurmountableWaistHeightFence: Used with both fences and edges of the playing area. [[LampshadeHanging Lampshaded]] when in a dialogue, one of the playable characters randomly notes that he can't climb fences and pipes. All the more ironic since he [[GameplayAndStorySegregation does just that]] in a cutscene earlier in the game.
* InterchangeableAntimatterKeys: Subverted. You can only use lockpicks to get into locked buildings. They still inexplicably break when you use them, though.
* InterfaceScrew: [[spoiler: The map switch.]]
** If you get infected, the screen becomes blurry and zooms in and out periodically. If your infection meter is already high, the screen will also black out for a few seconds.
* InvulnerableKnuckles: Attacking unarmed suffers you no penalty, unlike when using a melee weapon, which decreases its durability. Possibly justified in the case of Daniel and Artemiy, since they wear gloves. (Klara doesn't, but she attacks using her PsychicPowers instead, so the issue is avoided.)
* JudgeJuryAndExecutioner: Played as straight as it gets with the Inquisitor. Just look at [[http://www.youtube.com/watch?v=vMJFwXt5jSc&feature=related Aglaja's introductory cutscene.]]
* JustBeforeTheEnd: [[DyingTown The town has certainly seen better days.]]
* JustifiedTutorial: Once you arrive in the city, the Executioner and Tragedian will be waiting patiently at your doorstep. If you talk to them, they will explain the various game mechanics and survival strategies via colourful metaphors (as is typical for them).
** Added points for lots of fairly funny [[LampshadeHanging lampshading]] [[ExpospeakGag in their expospeak]].
* KarmaMeter: The Reputation meter is an interesting and realistic variation on this. It's actually, for all intents and purposes, another health meter, and one of the most important ones at that. If you squander your Reputation, an already NintendoHard game will become [[UpToEleven even more difficult]], as important {{NPC}}s will refuse to help you or provide shelter, most likely resulting in your unavoidable death.
* KillEmAll: Potentially. Even likely, if you aren't resourceful and shrewd enough. [[spoiler:In the DownerEnding, the army obliterates the town, the Polyhedron, and all the remaining townspeople.]]
* KnifeNut: You can use a scalpel or a bigger ordinary knife as melee weapons to defend yourself (or others). Firearms are the more powerful and safer to use weapons though, since melee fights in the game are [[SpamAttack fast]] and [[NoHoldsBarredBeatdown brutal]].
** Another example of this trope are the looters, who seem to be expert knife throwers. Like, ''ridiculously adept'' at it... Thankfully, you can [[DodgeTheBullet dodge the blades]] if you think and move fast enough.
* KnightInSourArmor: The PlayerCharacter (and, by extension, the player) will definitely become this by the end if you try to play morally.
** A NonPlayerCharacter example: [[spoiler:Aglaja]] has some shades of this. She [[spoiler:wants to find a way to cure the infection with minimal losses -- she doesn't want to go all-out UtopiaJustifiesTheMeans. Her morals and methods are still rather dubious, however.]]
* LetsPlay: There is one for the [[http://forums.somethingawful.com/showthread.php?threadid=3033830 Bachelor]] and one for the [[http://forums.somethingawful.com/showthread.php?threadid=3359432&pagenumber=1 Haruspex]] on the SomethingAwful discussion board.
** The [[http://lparchive.org/Pathologic/ Devotress]] has an archived one with a smoother translation.
** The gaming blog "Pathologistics" has two players playing both characters concurrently. The beginning is [[http://pathologistics.blogspot.ca/2011/08/day-x.html here.]]
* LoadsAndLoadsOfCharacters: Every storyline character is named and is a major player in the story. The rest are just ragdolls.
* LoadsAndLoadsOfLoading: Every single time you enter/exit a building. Also, that ridiculous fog due to draw distance limitations.
** The fog isn't even good enough to hide the limitations in some areas -- you can actually ''see'' textures appearing and disappearing.
** At least the loading is quick and you won't even notice it on high-end computers.
* LoveMartyr: Eve. Her obvious affection for Dankovski is taken for granted, [[spoiler: she commits suicide, though for other reasons, and Dankovski is too distressed, tired and burdened to feel much grief]].
* LovecraftCountry: The village and surrounding steppe have all the trappings of this trope, even if it's not in the right "country." A run-down village in the middle of nowhere with odd customs, a [[TownWithADarkSecret dark secret]], and a CosmicHorrorStory lurking in the background.
* MagicRealism: Combined with CosmicHorrorStory. Unfortunately.
* MaliciousSlander: The players characters are victims of some, and other characters deploy it as a weapon. It's not hard to work people up into a frenzy, the way things are going.
* MeatMoss: Seen in the the city districts and quarters that got hit by the plague. [[MagicRealism On buildings, the paved streets...]] Even seen bricks with scabs and pus?
* MetaGuy: The Executioner and Tragedian are "stage hands". Although, despite this claim, they are surprisingly participant in the main story, usually a herald of things going FromBadToWorse. It's likely that this is another layer of MindScrew.
** The Inquisitor Aglaja and General Blok also act like allegorical figures [[PowersThatBe of a different sort]].
* MenuTimeLockout: Accessing your map, diary, letters, or status screen pauses the game, and ''you will be thankful for it'', since it's one of the few AcceptableBreaksFromReality the game uses. This is ''[[AvertedTrope not]]'' the case for the inventory menu, though -- see ScrappyMechanic.
** TalkingIsAFreeAction: Time is also stopped during dialogues, which you will be even more grateful for, given how plot-heavy the game is and the [[WallOfText Walls of Text]] in most dialogues.
* MightyGlacier: Not a character, but a weapon; the rifle. It's quite powerful and ''extremely'' accurate, but can only hold one bullet at a time, meaning you'll have to sit through a lengthy reload animation every time you fire it.
* MindScrew[=/=]EveryoneIsJesusInPurgatory: Hooooo boy. Excessive weirdness abounds in every detail of the story and setting. The "facts" are often deliberately contradictory and obtuse. And the dodgy translation makes it even harder to tell just what exactly it all means.
* MoreDakka: [[AvertedTrope Nope]]. An automatic weapon would be useless due to the scarcity of ammo, anyway.
* MultipleEndings: All are [[BittersweetEnding bittersweet]], at best.
** The Bachelor: [[spoiler: Destroy the town to save the Polyhedron.]]
** The Haruspex: [[spoiler: Destroy the Polyhedron to save the town.]]
** The Devotress: [[spoiler: Save everyone in the town and preserve the Polyhedron, but sacrifice most of her Adherents.]]
** [[spoiler: Or, if you refuse to choose any of the endings, [[KillEmAll the military destroys everything]].]]
* NameOfCain: The Kain family.
* NeverBringAKnifeToAFistFight: If you've come under attack, it's generally better to cripple your enemy with a firearm first, then hit or stab him. As long as you have ammo, that is.
* NightmareFuelStationAttendant: You will learn to fear the Executors. Whenever you see them...it's a ''[[FromBadToWorse bad sign]]''.
* NintendoHard: It's pretty easy to waste time and resources at the start of the game in a way that will totally screw you over by the endgame.
* NoAntagonist: Despite their conflicting methods, all the Adherents wish to put an end to the disease and restore order to the town. Even the thugs and bandits only rob out of necessity.
* NominalImportance: When you talk to any of the characters, an icon with a black-and-white photo appears in the corner of the screen. With storyline characters, it's a person resembling the model. With random people, [[LampshadeHanging it's a creepy ragdoll]].
* NoodleIncident: Recent February Revolt, which was mentioned a couple of times. And Andrei mentions during his first meeting with Dankovsky some student revolts, in which they both took part.
* NothingIsScarier: The plague-ridden quarters and areas of the city. [[spoiler:Some would argue that the ''whole town'' and its surroundings qualifies.]]
* NotThatKindOfDoctor: A rather bizarre variation, in that the Bachelor is referred to as a doctor, despite the fact that he's... well, a Bachelor Of Medicine.
* ObviousBeta: Definitely. The game's innovative and well-written story and atmosphere are often marred by the rather clunky and buggy engine. There are quite a few annoying bugs that can mess up the gameplay or disrupt its otherwise highly immersive atmosphere. And the wobbly and seemingly rushed English translation and dub needlessly add to the already existing issues.
** Fortunately, the developers say that they're planning to create a VideoGameRemake sometime in the future that fixes these issues. Judging by [[DevelopmentHell how badly]] the FanTranslation is going, though, it probably won't happen any time soon.
* OfficerAndAGentleman: Alexander "General Ash" Block. He's a surprisingly nice, poetic and reasonable guy.
* OffstageVillainy: Anna Angel is rumored to be a former member of "Diamond Ace Caravan", an infamous gang of murderers and child kidnappers which was executed a few years before game. It's also heavily implied that she murdered the girl who gave her a shelter.
* OneLetterName: One of Dankovski's associates for Thanatica sends him a letter during the first day, signing it simply "Your A."
* OminousLatinChanting: The main menu theme. The rest of the game features examples of ''[[ItMakesSenseInContext Ominous Steppe Nomad Chanting]]'', interspersed with haunting, predominantly [[OneWomanWail female vocals]]. They greatly add to the already gloomy atmosphere of the game.
* OneBulletClips: Sidestepped. The revolver is reloaded offscreen (the character pulls it down to their side first), avoiding the need for custom animations depending on how many bullets it currently has. The rifle ''is'' reloaded on-screen, but it has a ''literal'' one-bullet clip, so the trope doesn't apply. Played straight with the shotgun, however, which is also guilty of the "reload more visible shots than you actually have" subtrope.
* OneHitKill: {{Back Stab}}s and [[BoomHeadshot headshots]] will result in these.
* OneStatToRuleThemAll: Keep your Reputation high ''at all costs''. It's the hardest type of health to restore, and has far-reaching consequences if it gets low.[[note]]Among other things: Shopkeepers will refuse to sell their wares to you, townspeople will attack you on sight, and most people will refuse to lend you shelter, meaning you'll eventually drop dead from exhaustion.[[/note]]
* OneSteveLimit: Averted; there are two characters who go by the name of "Alexander". They're both referred to by their surnames, though, so the problems with the trope are sidestepped.
* OrganDrops: They're only available to the Haruspex, since [[JustifiedTrope he's the only one who knows how to]] [[{{Squick}} cut them out]].
* PlagueDoctor: Characters reminiscent of plague doctors pop up as the decease spreads throughout the town.
* [[WizardNeedsFoodBadly Player Needs Food Badly]]: You need to eat and even ''sleep'' regularly, since you can die not only from infection or low health, [[TheDevTeamThinksOfEverything but from hunger and exhaustion as well]]. And if you're wondering how a person can die from starvation within only a couple days, the Tragedian who explains the game's rules at the beginning basically says [[HandWave "that's just how things are around here."]]
* PoweredByAForsakenChild: [[spoiler:All of the healers' methods to cure the plague. The Haruspex cuts organs out of people and needs a special variety of blood, the Bachelor is cold and ruthless in his experiments and willing to sacrifice the town itself to save what he views as its only worthwhile features, and the Devotress needs to have several people euthanised to work her miracle.]]
** Somewhat related, [[spoiler: the Polyhedron is kept upright by a massive spike that goes deep into the earth. This "wound" getting infected is what causes the disease in the first place. Or, possibly, hit some sort of container of the plague and let it out. It depends who you ask.]]
* PowersThatBe: The Authorities.
* PowerTrio: The three lead characters qualify, despite the fact that they don't work as a team at all.
** TheSpock: The Bachelor.
** TheMcCoy: The Haruspex.
** TheKirk: The Devotress.
* PuttingOnTheReich: General Blok is quite fond of a vaguely Nazi-ish salute, though he is by no means evil.
* ProductionForeshadowing: "After I lay my hands onto you, you'll have gold, silver and cobalt running through your veins." [[VideoGame/{{Turgor}} Huh.]]
* PsychologicalHorror[=/=]SurrealHorror
* RagtagBunchOfMisfits: The three [[UnlikelyHero main characters]]. [[DeconstructorFleet Sort of.]]
* [[RandomEffectSpell Random Effect Item]]: Twyrine. Sometimes it functions like a painkiller, sometimes it messes with your immunity, sometimes it decreases infection slightly. Mentioned in its description, where it says that many of its effects haven't been discovered yet.
* RealIsBrown: The whole town. Possibly justified, as it's in the middle of a steppe (and in the middle of autumn), and is thus covered in sand and mud all the time.
* RealityIsOutToLunch: And weirdness is on special.
* RecklessGunUsage: The reloading animation for the SawedOffShotgun shows the PlayerCharacter using the stock "flick the gun back to close it using its own weight" technique. In RealLife, this is actually a rather dangerous action that can damage the gun.
** There's also the fact that the characters insist on FiringOneHanded with everything except the rifle, despite the fact that trying that with a SawedOffShotgun (or even a [[RevolversAreJustBetter revolver]], depending on the caliber) should result in broken wrists.
* RevolversAreJustBetter: Averted. The revolver is the least accurate and second-weakest gun in the game. Its only real advantage is a relatively large magazine size, but MoreDakka is a horrible strategy in this game, so that's not terribly useful. (And just in case you still want to try that, its ammunition is the most expensive as well.)
* RomanticismVersusEnlightenment: The Bachelor's scenario makes a case for the Enlightenment, while the Haruspex is on the side of Romanticism.
** This is a very difficult case, because the Bachelor's party stand for beauty, art, higher thinking and abstract ideals, while the Haruspex's supporters stand for prosperity, practicality, tradition and basic comfort.
* RuleOfThree: Three playable characters, three ruling families, three town districts, three gangs of kids... it goes on.
* SaveScumming: You'll be doing this a lot.
* SceneryPorn[=/=]SceneryGorn: Despite outdated graphics, architecture in the game is strikingly beautiful, and so is the landscape of the Steppe. And when the town is ridden by plague, it's Scenery Gorn.
* ScienceHero: Dankovski.
* ScrappyMechanic: Lots.
** You ''can't run.'' At all. Only walk at a leisurely pace. Coupled with the brutal InUniverseGameClock, this can cause the game to range from NintendoHard to nigh {{Unwinnable}}.
** The weapon selection is annoyingly clunky, since it's only available by opening your inventory (which is the only menu that averts MenuTimeLockout). This wouldn't be necessarily bad -- but imagine you need to switch to another weapon quickly ''in the middle of a fight with a local looter''.
** This is very minor compared to the other two, but... Melee weapons often have multiple attacks -- for example, when unarmed, your character may execute either a quick jab with their left fist, or a long windup punch with their right. However, ''there is no way to control which attack is executed'' (it's random), so you have no idea whether you can afford to be right next to an enemy, or if you have to start further back because your character is going to twirl their knife in the air dramatically before plunging it in a downward stab. Given how incredibly important timing is in melee combat, this can be quite irritating.
** Fortunately, ranged weapons avoid this problem, for obvious reasons...however, just ''drawing'' a gun takes an absurdly long time; the animation for the revolver in particular makes it look like your character's moving through molasses. Needless to say, this can result in problems when you're being charged at by a crazed mugger.
* SecretCharacter: The Devotress...kind of. She's clearly displayed on the character selection screen, but [[UnlockableContent can only be played if you've completed one of the other two scenarios]]. She is also played up as the most mysterious of the three healers in the other two scenarios.
* ShoutOut: The original Russian title of the game is ''More. Utopia'' (''Мор. Утопия''), referencing the most famous work by Thomas More. A bit of a PunnyName, as Мор forms a phoentic homonym with More's surname in Russian. The common meaning of Мор [[MeaningfulName is "plague" or "pestilence"]]. "More: A Utopia" or "Plague: A Utopia" ? Take your pick...
* ShowWithinAShow: The Theater puts on a play each night after midnight. Attending it is completely optional and has no tangible benefits, but you might [[PlotParallel learn something]] if you do.
* SiblingYinYang: Andrei Stamatin and Pyotr Stamatin - the former is cheerful, extroverted and prone to violence, and the latter is drug-addicted, shy, introverted and sad.
** [[spoiler: Nina Kain and Aglaya Lilich. Nina was psychotic, passionate and highly emotional, while Aglaya is cold-blooded and efficient. They both, however, are ruthless, highly intelligent and charismatic.]]
* SissyVillain: Gryph, the leader of the thieves, talks with a noticeable lisp and [[VillainousCrossdresser dresses like a woman]].
* SlasherSmile: Several characters find the Bachelor's smile unnerving.
* SlaveToPR: Your player character, quite literally. See OneStatToRuleThemAll, below; managing your reputation is ''really important'' in this game.
** Even moreso if you're playing as the Devotress, since her Reputation decreases constantly. She has a bit of an easier time recovering it than the other heroes, though, due to her HealingHands.
* SlidingScaleOfIdealismVersusCynicism: The protagonists are mostly [[HeroWithBadPublicity despised]]. [[HumansAreBastards The people are small-minded and selfish idiots]]. Dankovski's "LoveInterest" [[spoiler:commits suicide]]. Guess which side the story's on?
** Here's a quote from [[http://www.rockpapershotgun.com/2008/04/11/butchering-pathologic-part-2-the-mind/ a review]] that explains this:
--->"In a single word, ''Pathologic'' is dark. And not 'we're going to make our sequel a darker, more adult experience' dark. Not 'teen angst' dark. ''Pathologic'' is an endlessly bleak game with an atmosphere that smothers all hope. It's 'pensioner breaking a leg in his bedsit and no one finding out until the smell starts to get unbearable' dark."
* SnarkKnight: Artemiy, all the time.
** Daniel can be like this too, depending on which options you pick in his {{Dialogue Tree}}s.
* SniperPistol: Averted. Every weapon has an accuracy value (a random variance of how far the bullet actually hits from the crosshairs), and the revolver has the worst accuracy. If you want to snipe, you need to use the rifle, but even that's pretty unreliable at low durability. (It's also ''not'' a SniperRifle, i.e., no scope, so aiming over long distances with it can still be difficult.)
* SoulJar: [[spoiler:Appears to be the primary purpose of the Polyhedron, though that's not all it can do.]]
* SpellMyNameWithAnS: Aglaja/Aglaya/Aglaia. Daniel/Daniil, too.
* SpiritualSuccessor: ''VideoGame/{{Turgor}}'' (a.k.a. ''Tension'' or ''The Void'').
* StandardFPSGuns: Calling Pathologic a "standard FPS" would be laughable, so many of the traits inherent to the guns don't apply, even if the game does still involve guns.
** KnifeNut: There are two kinds, both of which have [[BreakableWeapons limited durability]], undermining their use as {{Emergency Weapon}}s. They can cause a OneHitKill if you use them to attack an ''absurdly tiny'' hitbox located around [[BackStab the back of the neck]], but due to the fact that people shift from side to side when walking, as well as the rather long delay when attacking, it's very hard to actually pull it off.
** {{Handgun}}: The derringer is roughly equivalent to the pistol in most shooters, but you can forget about ammo being plentiful.
** RevolversAreJustBetter: The revolver actually subverts many of the standard tropes surrounding it; it's more powerful than the derringer, but still one of the weakest guns overall.
** SniperRifle: The rifle is hard to classify, actually -- while it is the most accurate weapon, it doesn't have a scope, so it's not a SniperRifle. It's not a Marksman Gun either, since it can only hold one bullet at a time.
** SawedOffShotgun: You only get it halfway through the game, though it is quite effective at killing large mobs.
* StupidEvil: Acting this way is one of the quickest ways to doom yourself; going on random killing sprees and [[KickTheDog kicking puppies]] will drive down your [[OneStatToRuleThemAll Reputation]] ''fast''.
* SurvivalHorror: The most pronounced aspect of the game, at least genre-wise. And an unusual take on the genre at that: You're not fighting monsters, the darkness, etc., but an [[PsychologicalHorror abstract unnerving evil]] in the forms of ThePlague, the effects of [[SanitySlippage insanity]], [[DespairEventHorizon despair]], [[HobbesWasRight and general human senselessness]].
* TalkToEveryone
* TallDarkAndSnarky: Very arguably Dankovski.
* TimedMission (plus InUniverseGameClock): Basically the entire game. All quests must be finished the day they were received. The game spans 12 days, you know this from the very beginning, and you will be reminded relentlessly.
** There is a way to modify the [[ScrappyMechanic overly speedy flow of time]] [[http://forum.ice-pick.com/viewtopic.php?f=12&t=4278 by a simple edit of the game's config]].
* TheyDo: [[spoiler: During the Harsupex's party ending cutscene, Agalya and Artemiy look very suggestively at each other.]]
** [[spoiler:And during the Devotress' ending cutscene, we see her and Block hugging.]]
* TheClan: Three of them. The Kains, the Saburovs and the Olgimskys.
* ThePlague: A visible cloud of disease that will actively chase you. [[FromBadToWorse Or a cloud of disease that sometimes appears as a red-brown angel.]]
* ThePowerOfBlood: ''And how...''
* [[TownWithADarkSecret Town Full Of Mind Screw Secrets]]
* TranslationTrainwreck: The game itself has a notoriously awful translation, but isn't ''this'' bad. The manual, on the other hand...
* TraumaInn: Averted for the most part. Though exhaustion will always decrease, you'll only recover health if you take painkillers beforehand. It can also be a double-edged sword: hunger will always increase while sleeping, as will the infection level if you're already infected.
* TrialAndErrorGameplay: Sadly, quite ''a lot'' of it if you're playing for the first time. The aforementioned ScrappyMechanic and InUniverseGameClock don't leave enough room for bigger screw-ups on part of the player.
* TwistEnding: More like a series of twist endings that get progressively more twisty, to be precise. Nope, we won't dare spoil it for you. [[spoiler:Your mileage ''will'' definitely vary about whether it's more of a KarmicTwistEnding or CruelTwistEnding.]]
* UtopiaJustifiesTheMeans: An important theme in the game, but especially in the [[spoiler:Bachelor]]'s ending.
** The more literal translation of the game's original Russian title - ''Pestilence: The Utopia'' - hints at this, along with a short throwaway dialogue with one of the town's UpperClassTwit {{NPC}}s.
** Also, Russian word for pestilence is "Mor", making the title a ShoutOut of Thomas More and his ''Utopia''
* VideoGameCrueltyPotential: [[spoiler:In-universe, during a bonus scene in the Polyhedron, but minus the "video" aspect of "game." No, seriously.]]
* VideoGamePhysics: It's mainly used just to calculate falling damage - and it's pretty unforgiving about it too. The player characters' legs must be made of plaster to break from such short falls.
* WaifProphet[=/=]MysteriousWaif: Klara, the Devotress.
* WellIntentionedExtremist: Many of the characters who look like they're going to be the BigBad turn out to have their own beliefs, morals, and reasons for their actions, turning them into this.
* WhamEpisode: Day 6 in the Bachelor's scenario. Up until that point, things have actually been going surprisingly well -- you've managed to set up a hospital and isolation ward, and your fellow scientist Rubin has even managed to isolate a vaccine (albeit at [[ShootTheDog a cost]]). But then [[FromBadToWorse everything starts going to pieces]].
** Firstly, [[spoiler:Rubin has a MyGodWhatHaveIDone moment because of yesterday's events, and turns himself into the authorities. It's possible that he will be executed, leaving you on your own in the battle against ThePlague.]]
** Secondly, [[spoiler:a plague carrier somehow managed to infiltrate the hospital you set up, killing hundreds of people. The town is now degrading into madness and hysteria trying to hunt town the perpetrator, whom they suspect to be a demonic witch.]]
** Thirdly, [[spoiler:Saburov has gone mad with power -- power [[NiceJobBreakingItHero you gave him yourself]]. He's now arresting people with wild abandon and on little basis. If you don't pay their bail by midnight, the [[JudgeJuryAndExecutioner Inquisitor]] will almost certainly hang them.]]
** Fourthly, [[spoiler:a mob of arsonists is trying to ''burn down the Apiary'' because they believe it's the source of the plague. Even Vlad Senior, the overseer of the place, doesn't seem very concerned about this -- and he later reveals that the infection has indeed found its way into the Apiary.]]
** To top it all off, the [[JudgeJuryAndExecutioner Inquisitor]] and their forces are poised to arrive the next day, and if you can't stop the disease by then, they are likely to take the reins themselves and destroy the plague [[ItsTheOnlyWayToBeSure at any cost]].
** Probably not coincidentally, this is the point where the red-brown angels of death start appearing in the infected districts.
* WhatTheHellTownspeople: Invoked by Artemiy [[SnarkKnight in a few sarcastic jabs]].
* WiseBeyondTheirYears: Notkin, Capella, and Khan.
* XMeetsY: It's as if the works of [[TheMasterAndMargarita Mikhail Bulgakov]], Creator/FranzKafka, some works of GermanExpressionism Hieronymus Bosch and ChinaMieville were thrown into a single pot and cooked thoroughly into a delicious MindScrew horror soup.
* YouALLLookFamiliar: Every {{NPC}} except the [[NominalImportance named ones]].
* YouKilledMyFather, PrepareToDie: [[spoiler:Oyun killed Burakh's father. He gets what's coming to him.]]
* WhatYouAreInTheDark : One of the main themes of the game. The plague and the methods you employ as a character in order to stop it and save the city could be interpreted as one big SecretTestOfCharacter.

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