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Developer Ice-Pick Lodge is well known for its unique take on RPGs and the choices that players are often asked to make in their narratives. The studio, known for Pathologic and its sequel, is currently working on the next mainline title in the franchise. While waiting for the games release later this year, we got to chat with creative producer Alexandra Alphyna Goluubeva about Pathologic 3."With Pathologic 3, we knew from the start that we wanted to make a different experience"Pathologic 2 started development as a remake of the original before turning into what it became, but with Pathologic 3, it looks like youre starting off with surer footing in terms of your vision for the game. How has that change impacted the games development in your view so far?When we set out to make Pathologic 2, it took us a while to become bolder. We first began with a faithful step-by-step remake of the original game, but then slowly realized we were unhappy with certain choices. So we changed them, added new mechanics and found a completely new game on our hands.With Pathologic 3, we knew from the start that we wanted to make a different experience i.e. tell the Bachelors story through mechanics that are different from the Haruspexs. Subjective storytelling via not only quests but also mechanics is the core focus of Pathologic, so it was crucial for us to choose precisely the elements that would shape Bachelors worldview. For example, being respected by the towns elites (unlike the Haruspex), he doesnt need to bother about finding food or money. Instead, he may struggle with his own mind and also needs to make decisions that shape the whole face of the town.Pathologic 3 is adding a significant new mechanic with players now having the ability to go back in time. Can you talk about how the decision to introduce this mechanic came about?It is first and foremost a tool of confused and unreliable storytelling it seems that The Powers That Be are convinced that some events did not unfold the way Bachelor remembers them. Or is it?"This approach allows us to explore unhappy stories and let the player make mistakes"Given Pathologics emphasis on time management in general, how much of a challenge has it been to properly balance the new time travel mechanic? How many limits will it place on players in terms of what they can do with it?Its an absolute pain in the ass that makes both the story and the in-game economy very complicated. The things we do for love.As for players freedom, they wont be able to do just anything, of course, because permutations are endless for a sufficiently creative mind. But you will be able to move to different points of the story (in both future and past) and change how events unfold given that the Town even exists at that point. Which is not guaranteed, so youll first have to find ways to stop all these people from destroying themselves.This approach allows us to explore unhappy stories and let the player make mistakes because they can then go back and fix things (or maybe break them differently).Where the actual medical investigative mechanics are concerned, how is Pathologic 3 expanding on its predecessors gameplay? What kind of a toolset will players have at their disposal?All protagonists of Pathologic are healers. But its a game about many things, so in the first installment their medical work was, surprisingly enough, implied they dealt more with the Towns social element, survival, and their personal quests. In Pathologic 2, hospital was added, but it was a series of unique mini-games.In Pathologic 3, medical work is finally systematic. You get to interview and examine patients, diagnose them. But since Bachelor is more scientist and thinker than bleeding heart, he is often dissatisfied with just measuring someones temperature or examining their skin condition he dives into their life stories to make sure ALL factors are accounted for. Because sometimes people lie, and bodies too, and a symptom can be a red herring.Basically its like House MD gamified, except your patients are unusually fond of talking philosophy and weird."Gameplay-wise, time flows normally in Pathologic 3."What can you tell us about Pathologics choice and consequence mechanics? Thats obviously an area the series has always been known for, but particularly with time travel now thrown in, how much more complex will that side of the experience be?You start in medias res, on Day 5 instead of Day 1, as a Daniil Dankovky who has failed all of his opportunities. The town is on the brink of death. But maybe thats not how it went? Maybe someones trying to frame him? So he explains how things could have gone differently.Gameplay-wise, time flows normally in Pathologic 3. But at any point in the game you can jump to another day as long as you have the resources for it and make different decisions, which of course have repercussions (often delayed and unexpected). When a certain part of the story is completed, it is locked and you dont have to repeat it even as you jump back, but you can unlock it if you want to make different choices (again, if you have the resources to travel back).We always enjoyed writing characters with hidden agendas, characters that lie to you, go on with their lives offscreen, and refuse to cooperate. With these mechanics we can explore this side of the human condition in even more detail because if Daniil is tricked, he can fix it now.(Or rather break it differently.)Roughly how long will an average playthrough of the game be?It strongly depends on how fast you can read and how you choose to interact with certain elements (for example, you may try to avoid infected districts or dive into the heart of the storm), but generally the scope is the same as Pathologic 2, so around 20-25 hours.