RTX 3090 runs Pathologic 2 at approximately ~57 FPS at 1080p High settings — verdict: PLAYABLE. At 1440p: ~86 FPS (SMOOTH). At 4K: ~57 FPS (PLAYABLE).
The RTX 3090 runs Pathologic 2 at ~57 FPS on 4K High settings — within the 30–60 FPS playable range but below the 60 FPS smooth-play threshold. Switching from High to Medium settings typically recovers approximately 10 FPS on this GPU tier.
Performance Optimizer
Live SimulationFrequently asked questions — RTX 3090 & Pathologic 2
Can I run Pathologic 2 on RTX 3090?
Yes. The RTX 3090 delivers approximately 57 FPS in Pathologic 2 at 1080p High settings. Frame rate is in the 30–60 FPS playable range. Switching to Medium settings recovers roughly 15–20% more FPS.
What FPS does RTX 3090 get in Pathologic 2 at 1440p?
The RTX 3090 averages approximately 86 FPS in Pathologic 2 at 1440p High settings — verdict: SMOOTH. Excellent result for high-refresh-rate 1440p monitors.
Can RTX 3090 run Pathologic 2 at 4K?
The RTX 3090 averages approximately 57 FPS in Pathologic 2 at 4K High settings — verdict: PLAYABLE. 4K is achievable but reducing to Medium settings will significantly improve frame pacing.
About Pathologic 2
Pathologic 2 is a reimagining of the original, focused on the Haruspex, Artemy Burakh. You return to your plague-stricken hometown as a surgeon-healer caught between local kinship traditions, colonial urban power, impossible medicine, hunger, exhaustion, and a clock that never stops. Compared with the 2005 game, it is more mechanically coherent and cinematic, but still intentionally punishing: you…
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