Tabletop Pathologic

Fabrika Igr, Ice-Pick Lodge · Board game · 2016
2–4 · best 4 40–80 min Weight 3.0/5
rating Ludopedia
6.3 rating BGG
Buy
rating Ludopedia
6.3 rating BGG
Our Verdict
RECOMMENDED

If you love asymmetric horror games, you’ll enjoy Tabletop Pathologic’s tension and doctor rivalry.

Highlights
  • Immersive horror atmosphere
  • Unique powers per player
  • Strategic area movement
Keep in mind
  • Asymmetry may cause imbalance
  • Moderate learning curve
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About the game

What you do in a play session

Tabletop Pathologic brings the suffocating atmosphere of the video game Pathologic to the tabletop, seating up to four players in a town on the brink of collapse. Three players become doctors tasked with investigating, healing, and surviving as the city falls into chaos: empty shop shelves, makeshift barricades, and an invisible murderer prowling the streets. The fourth player controls the Sand Plague, a lethal force that stays hidden until it decides to strike, forcing the doctors to risk their own lives and those of their Entwined companions to complete missions. The game blends Area and Point‑to‑Point movement, letting doctors traverse neighborhoods and critical points while the Plague deploys units secretly. Each doctor has Variable Player Powers, giving them unique abilities and creating a mix of cooperation and rivalry, as only one can claim victory in the end. Playtime ranges from 40 to 80 minutes, with a moderate complexity (weight 3/5), suited for fans of horror, medical themes, and asymmetrical experiences. Originally a Kickstarter reward for the Pathologic video‑game remake, it later received separate distribution. If you love suspenseful games where tension builds each turn and enjoy pitting friends against each other in uneven roles, Tabletop Pathologic might be your next obsession.

Best player count

BGG community vote

2–4 players
2 REC
3 REC
4 BEST

Where to Buy

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Game details

Mechanics, categories, families and credits

Families

Crowdfunding: Kickstarter Players: One versus Many
Publisher Fabrika Igr, Ice-Pick Lodge
Designer Andrey "Lenoran" Salik, Elena "Joker" Vishina, Fuad "Funt" Kuliev, Liu Sukhinina

Frequently Asked Questions

Quick answers before you buy

7 questions
How many players can play?
2 to 4 players, with one taking the Sand Plague role and the others as doctors.
What is the typical play time?
Between 40 and 80 minutes, depending on player count and experience.
How complex is the game?
Rated 3/5 on BGG, a medium complexity; rules are clear but asymmetry requires careful play.
What components are included?
City board, doctor and Plague miniatures, mission cards, Entwined markers, and resource tokens.
Who is the game best suited for?
Fans of horror, medical themes, and asymmetric games who enjoy narrative tension.
Do I need to have played the Pathologic video game?
No, the board game captures the mood and can be enjoyed without prior knowledge.
Are there any expansions planned?
No expansions have been announced so far.

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