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DYSTHANASIA

DYSTHANASIA Game Cover
88%Game Brain Score
Most mentioned positive aspects:atmosphere, graphics
Most mentioned negative aspects:story, gameplay
88% User Score Based on 65 reviews

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DYSTHANASIA Game Cover

About DYSTHANASIA

DYSTHANASIA is a single player survival role playing game with horror, mystery and anime themes. It was developed by Madowaku Kobo and was released on November 21, 2025. It received positive reviews from players.

Content WarningThis game contains depictions of intense violence, horror, and trauma, as well as content that makes references to these themes. Those sensitive to such material or those who experience physical or mental discomfort from it are advised to avoid prolonged play. About the GameStory A girl awakens in a cold, damp morgue. Bloodstains, not yet dry, cling to the walls and floor, alongs…

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DYSTHANASIA screenshot
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DYSTHANASIA screenshot
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Reviews

88%Audience ScoreBased on 65 reviews
atmosphere6 positive mentions
grinding2 negative mentions
  • Strong atmosphere with grotesque environments and effective sound design that create genuine tension without relying on cheap jump scares.
  • Large variety of detailed graphic death scenes and animations viewable in a gallery, enhancing replay value.
  • Engaging lore and story told through environmental details and notes, enriched by solid voice acting that conveys the heroine’s fear effectively.
  • Clunky and slow controls with awkward turning and camera issues that can make gameplay frustrating and disorienting, especially during chases.
  • Some game areas feel repetitive or confusing, with limited puzzles and backtracking that can feel grindy and reduce immersion.
  • High price relative to game length and content; technical imperfections such as inconsistent sound design, pop-in, and occasional bugs detract from overall polish.

  • atmosphere

    15 mentions Positive Neutral Negative
    40% positive mentions, 40% neutral mentions, 20% negative mentions

    The atmosphere in Dysthanasia is generally praised for its tense, oppressive, and minimalist horror style, emphasizing constant tension and graphic consequences over jump scares. Its grotesque environments, effective sound design, and strong world-building contribute to a compelling, niche horror experience, though some find it less atmospheric compared to the developer's previous titles. Language barriers and somewhat empty maps slightly detract from immersion for certain players.

    • “Tense minimalist background music enhances the atmosphere, and the heroine’s Japanese voice acting delivers clear, convincing reactions to danger throughout the game.”
    • “Rather than relying on jump scares, it leans into constant tension, suffocating atmosphere, and graphic consequences for failure.”
    • “Dysthanasia's most shining feature is its set design, atmosphere, and world-building lore.”
    • “Since there’s no Russian language option, grinding through heaps of text is exhausting and doesn’t add to the atmosphere.”
    • “The map feels a bit empty, which adds to the atmosphere, though it may be unintentional.”
    • “But upon finally playing the game myself and finishing it, the shock value is still there, not gonna lie, but I am sad that the atmosphere compared to the last game they made is a bit weak. I guess that's why I prefer their 2D art style, though I am glad that the animations are not half-baked at all; some are even fully detailed.”

  • story

    14 mentions Positive Neutral Negative
    21% positive mentions, 58% neutral mentions, 21% negative mentions

    The story is well-crafted and engaging, primarily delivered through text logs and environmental storytelling, following the hardships of the protagonist "396" in a corrupted research facility. While some players find the narrative compelling and intense, others feel the pacing is slow and that the game lacks rewarding incentives for completion. Overall, the story effectively builds tension and delivers a grim, horror-filled atmosphere despite a few loose ends.

    • “The story delivers, and the gore far exceeds the expectations everyone had for the man that made a 4chan classic 16 years ago.”
    • “Story is 9/10: 396's story is full of hardships, torture, brutality.”
    • “I just beat the game some hours ago and think the story builds up preciously, while it feels like there might be some loose ends, I also think the main plot really shines at the end.”
    • “Gameplay is just boring running around an underground morgue, hunting for keycards, and breaking small objects to move the story forward.”
    • “99% of the story is told through text logs.”
    • “Completed the story in a single setting and I'm not feeling like I got my 20 dollars worth, kinda wish there was a reward for completing on the hardest difficulty.”

  • graphics

    14 mentions Positive Neutral Negative
    36% positive mentions, 43% neutral mentions, 21% negative mentions

    The graphics feature stylized 3D visuals with detailed character modeling and expressive animations, including a large variety of graphic death scenes, though some textures and overall polish feel amateurish. While the visuals deliver good shock value and atmosphere, they lack the refinement and depth seen in the developer’s previous 2D art style and may feel underwhelming given the hardware requirements and 1080p resolution cap. Fans appreciate the nostalgic, somewhat simplistic aesthetic that complements the game's tense and graphic horror themes.

    • “Stylized 3D visuals with a clearly modeled heroine, expressive animations, and unlockable outfits.”
    • “Still, the graphics and textures look surprisingly good on ultra settings.”
    • “Although this sounds like a bad thing, it's actually one of its core charm points as it really feels like the good old days with some very good visuals and a really good level of suspense.”
    • “Even Demonophobia, with all its 'paint-style' graphics, felt like a finished art piece with a recognizable style, but here we’re stuck with some kind of test stub for people to check out.”
    • “Performance-wise, I couldn't offer much useful info since I have a decent PC (9070xt+9800x3d) so I can run the game no problem, but seeing the bare-minimum required a RTX 2060 and the graphics in this game aren't honestly all that impressive for that card's price. Plus, the max screen resolution is 1080p and there's no in-game vsync option. I'd say it's probably not good.”
    • “Right off the bat, it feels very amateurish: clunky controls, odd art style, the whole menu gives off the vibe.”

  • gameplay

    13 mentions Positive Neutral Negative
    23% positive mentions, 54% neutral mentions, 23% negative mentions

    Gameplay in this title is generally seen as clunky and underwhelming, with mechanics feeling slapped together and AI being inconsistent. While it delivers a tense atmosphere and brief moments of horror, the limited combat options, lack of engaging puzzles, and repetitive objectives diminish the overall experience. Fans of niche, ultra-violent horror may appreciate the mood, but gameplay falls short of expectations for a polished survival horror.

    • “The game starts you off not knowing what to expect or when, which builds up the suspense as the enemies are unknown and you are very clearly not a fighter so the main mechanic is to dodge by crawling and sensing the enemy's field of vision.”
    • “It's around 7 to 8 hours of gameplay on medium if you're taking the time to look for all the collectibles and 100% the game.”
    • “Dysthanasia is an unapologetically niche, ultra-violent horror title that doubles down on grisly death animations and oppressive atmosphere rather than polished AAA gameplay.”
    • “Gameplay is just boring running around an underground morgue, hunting for keycards, and breaking small objects to move the story forward.”
    • “The gameplay isn’t even close to living up to the title of a spiritual successor to Xenophobia or Demonophobia.”
    • “And for the gameplay, this game failed as a survival horror game in my opinion. I am disappointed that only the first two encounters with a certain monster made me feel the terror and thrill. Also, there are only a few useful items (just two, for health and stamina).”

  • music

    5 mentions Positive Neutral Negative
    60% positive mentions, 0% neutral mentions, 40% negative mentions

    The music in the game is minimal, with many areas lacking ambient audio and interruptions during pauses detracting from immersion. While the ambient music that is present is praised for enhancing tension, users wish there was more of it to enrich the overall experience.

    • “The music, number of enemies, game length, map layout, puzzles, and even items have all been expanded and improved upon from the version that was set to release on DL site.”
    • “The ambient music is amazing, I just wish there was more of it, even if dead silence broken only by wet, meaty footsteps and inhuman screams can create a much more tense feeling at times.”
    • “[Music & voice acting:]”
    • “Barely any music at all.”
    • “Worse still, there is a noticeable lack of ambient audio/music in most areas, and in the areas that do have it, it's interrupted whenever you pause to read a document, which further takes me out of the experience.”

  • replayability

    3 mentions Positive Neutral Negative
    67% positive mentions, 33% neutral mentions, 0% negative mentions

    The game offers strong replayability through numerous death scenes, multiple difficulty settings, collectibles, and unlockable outfits, providing players with varied incentives to play again.

    • “It's got an absolute load of death scenes (plenty more on the patched version) so there's replayability to it.”
    • “Multiple difficulties, collectibles, and unlockable outfits add replay value.”

  • grinding

    2 mentions Positive Neutral Negative
    0% positive mentions, 0% neutral mentions, 100% negative mentions

    Grinding in the game is considered tedious, especially due to the lack of a Russian language option which makes sifting through extensive text exhausting. Additionally, completing scenes and galleries can feel grind-heavy, detracting from the overall experience.

    • “Since there's no Russian language option, grinding through heaps of text is exhausting and doesn't add to the atmosphere.”
    • “Scene and gallery completion can feel grindy.”

  • optimization

    2 mentions Positive Neutral Negative
    50% positive mentions, -50% neutral mentions, 100% negative mentions

    The game's optimization is lacking, requiring relatively high-end hardware like an RTX 2060 for modest visual quality capped at 1080p, which feels disproportionate to its graphical complexity. Additionally, the absence of an in-game vsync option further detracts from performance control.

    • “Although I have a decent PC (RTX 4070 XT and 9800X3D) and can run the game without problems, the minimum requirement of an RTX 2060 seems high given the game's graphics quality. Additionally, the maximum screen resolution is 1080p, and there is no in-game V-Sync option, which might affect performance optimization.”
    • “High performance cost compared to visual complexity.”
    • “Performance-wise, I couldn't offer much useful info since I have a decent PC (9070 XT + 9800X3D) and can run the game no problem, but seeing the bare minimum required is an RTX 2060, and the graphics in this game aren't honestly all that impressive for that card's price. Also, the max screen resolution is 1080p, plus there's no in-game V-Sync option. I would say it's probably not good.”
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Play Times

8h Median play time
8h Average play time
8-8h Spent by most gamers
*Based on 1 analyzed playthroughs
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DYSTHANASIA is a survival role playing game with horror, mystery and anime themes. Common tags for DYSTHANASIA include 3D, demons, indie, surreal, psychological and others.

DYSTHANASIA is available on PC, Steam Deck and Windows.

On average players spend around 8 hours playing DYSTHANASIA.

DYSTHANASIA was released on November 21, 2025.

DYSTHANASIA was developed by Madowaku Kobo.

DYSTHANASIA has received positive reviews from players. Most players liked DYSTHANASIA for its atmosphere but disliked it for its story.

DYSTHANASIA is a single player game.

Similar games include Agony, Alone in the Dark, SILENT HILL f, Hollowbody, Doorways: The Underworld and others.