Hotfix 4 for Pathologic 3 focuses heavily on stabilizing story logic and quest progression, addressing several long-standing issues where characters, outcomes, and quest states behaved inconsistently. The update prioritizes fixes tied to critical narrative moments, particularly involving Vlad the Younger, Katerina, and key hospital and funeral interactions.
In addition to narrative corrections, the hotfix improves quest resets, NPC positioning, dialogue timing, and visual clarity for saving indicators. While some fixes prevent issues going forward rather than retroactively repairing affected saves, the patch significantly reduces the likelihood of progression-breaking scenarios.
Patch Notes
Story and Quest Logic Fixes
- Fixed an issue where Vlad the Younger’s fate could exist in conflicting states simultaneously
- Fixed the final node of Katerina’s story on Day 9 so it now appears consistently
- Added the ability to cancel Katerina’s Day 9 quest if it was completed unsuccessfully
- Fixed multiple logic issues related to Saburov and Katerina quest states
- Fixed issues with quest final thoughts that prevented resets or displayed incorrect outcomes
- Isidor’s house on Day 2
- Haruspex quest on Day 3
- Saving Nara quest
- Fixed an issue where incorrect patient diagnoses could persist on Day 10 after resetting quests
- Adjusted Rubin’s note on Day 10
- Fixed premature dialogue triggering with Georgiy on Day 9
Character and NPC Fixes
- Fixed an issue with Oktay, the Day 5 patient, to ensure proper diagnosis progression
- Fixed interaction logic with Isidor’s body during the funeral sequence
- Returned the Cathedral Caretaker to the correct position at the start of Day 10
- Fixed cases where the caretaker blocked stairs
- Adjusted Andrey Stamatin’s behavior
- Returned him to the pub on Day 7
- Fixed improper positioning on Day 11
Progression and World State Fixes
- Fixed incorrect locking behavior for Day 11 and Day 7 tied to key story events
- Updated the Decree Board to correctly reflect locked days
- Added a text hint to the save icon to clearly indicate when the game is saving
Interface and Text Fixes
- Fixed multiple logic inconsistencies across quest states
- Corrected various typos throughout the game
Pathologic 3 Hotfix 4 is now available. The game launched on January 9, 2026, for PC via Steam and PlayStation 5, with an Xbox Series X S version scheduled to release on January 23, 2026.
Have you noticed these changes? Share your thoughts in the comments!
