A bit of starting over, but mainly its a meaty game with a slower pace.

Pathology doesn’t have auto saves, you can only save at grandfather clocks, which are scattered across the main building of town. And since the game has harsh survival you may have to replay bits.

The game has a slower pacing, but lots of content, mainly making decisions and decrypting information from many sources. I wrote a lot in the next section, but realized it might be a bit too much if you want to go in fully blind. Doesnt have story spoilers, mainly about the framework of the game

!The second point need more explaining, the story is set up like an theatre play tragedy, with many characters. Every important character has their own goals and will try to complete them, even if that means to manipulate you, the player. Since everyone has their own agenda, the game gives you time while traversing town to think about your choices and the possible path you may want to take, and who to trust.!<

!In game you are always under time pressure, between trying to find a cure to the plague, saving the sick citizens, helping your allied important characters, while barely surviving yourself. !<

!It sounds a bit paradoxical, but they really hit the feeling of being under pressure they were going for. !<

The game is a real gem, but has a niche. Its like an interactive russian realism novel, about surviving in a harsh place, while making you feel that way.