Pathologic 2

From PCGamingWiki, the wiki about fixing PC games
Pathologic 2
Pathologic 2 cover
Ice-Pick Lodge
Unity 2018[Note 1]
Release dates
Windows May 23, 2019
Pathologic 2 on MobyGames
Pathologic 2 on Wikipedia
Pathologic 2005
Pathologic Classic HD 2015
Pathologic: The Marble Nest 2016
Pathologic 2 2019

Key points

Patch 4 includes a difficulty slider, allowing players to adjust their experience in fine detail.

General information

Official website
Official Discord server Support Page
Steam Community Discussions


Game data[edit]

Configuration file(s) location[edit]

System Location
Windows %APPDATA%\LocalLow\Ice-Pick Lodge\Pathologic 2\Settings
Microsoft Store
Linux (Proton) <Steam-folder>/steamapps/compatdata/505230/pfx/[Note 2]

Save game data location[edit]

System Location
Windows %APPDATA%\LocalLow\Ice-Pick Lodge\Pathologic 2\Saves
Microsoft Store
Linux (Proton) <Steam-folder>/steamapps/compatdata/505230/pfx/[Note 2]

Save game cloud syncing[edit]

System Native Notes
GOG Galaxy
Steam Cloud
Xbox Cloud

Video settings[edit]

Display options.
Display options.
Graphics options.
Graphics options.
Difficulty settings.
Difficulty settings.
Graphics feature State Notes
Widescreen resolution
4K Ultra HD
Field of view (FOV)
Vertical FOV; adjustable between 40~100.
Borderless fullscreen windowed
Anisotropic filtering (AF)
Anti-aliasing (AA)
Moderate FXAA[citation needed] through an "On/Off" toggle; SSAA via the Render Scale option (up to 200% native resolution).
Vertical sync (Vsync)
Can be set to On, 1/2 refresh rate, 1/3 refresh rate, and 1/4 refresh rate.
60 FPS and 120+ FPS
Framerate is uncapped.
High dynamic range display (HDR)

Input settings[edit]

Mouse options.
Mouse options.

Audio settings[edit]

Language options.
Language options.
Audio options.
Audio options.
Audio feature State Notes
Separate volume controls
Master, Music, Effects, Voice
Surround sound
Only 2.0
Can specify to only hear general subtitles, or also hear spoken bits of dialogue. Can also independently specify the language used for in-game texts, subtitles, and spoken dialogue.
Closed captions
Mute on focus lost
Cannot be enabled.


Language UI Audio Sub Notes

Issues unresolved[edit]

Official list of most common issues

Game crashes on startup[edit]

Disable anti-virus, then verify file integrity[3]

Other information[edit]


Technical specs Supported Notes
Direct3D 11
Executable 32-bit 64-bit Notes
64-bit only.

System requirements[edit]

Minimum Recommended
Operating system (OS) 7
Processor (CPU) Intel Core i3 3.0 GHz (8th/9th generation)
AMD Ryzen 5
System memory (RAM) 8 GB
Hard disk drive (HDD) 25 GB
Video card (GPU) Nvidia GeForce GTX 660
DirectX 11 compatible
A 64-bit operating system is required.


  1. Unity engine build: 2018.4.6f1[1]
  2. 2.0 2.1 File/folder structure within this directory reflects the path(s) listed for Windows and/or Steam game data (use Wine regedit to access Windows registry paths). Games with Steam Cloud support may store data in ~/.steam/steam/userdata/<user-id>/505230/ in addition to or instead of this directory. The app ID (505230) may differ in some cases. Treat backslashes as forward slashes. See the glossary page for details.


  1. Verified by User:Baronsmoki on 2019-10-21
  2. 2.0 2.1 Verified by User:Rose on 2019-06-03
    Screenshots taken at 5760x1080, 2560x1080, 1920x1080 and compared.
  3. Steam Community Discussion - Crash on startup fix - last accessed on 2019-06-01