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Pathologic - Play with a PS4 Gamepad
(on your PC)

instantly add PlayStation 4 controller support to any PC game - PS4 Dual Shock wired or wireless

PS4 controllers work on most PC games, but Pathologic may not support it properly.
Pinnacle Game Profiler can solve all your controller problems. Guaranteed.

Just click the button below to download the Pinnacle Game Profiler software, which includes
a pre-made profile to add PS4 gamepad support to Pathologic. Simple.

If you have any questions or need any help, please email us:

Pathologic Controller Support for PS4 Gamepads
  • Use your PS4 controller on a PC
  • Software supports any gamepad
  • Easy to setup in a few minutes
  • Advanced customization options
Try the PGP gamepad software with our Pathologic custom PS4 profile
"Pinnacle Game Profiler (PGP) is, in essence, the best game controller programming
software in the world." - DownloadSquad (HuffPost Tech)
if you have already installed PGP then you
can download the profile with this button
Download Profile for Pathologic PS4 Controller Support

Pathologic profile
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author's profile notes
This profile is compatible with any standard PC Gamepad, Xbox 360 Controller, Playstation (PS4, PS3, PSX), or any similar devices
Made this Xbox360 controller pin for the very weird old school styled adventure game Pathologic. It could be improved perhaps but if anyone wants a profile for this very strange Russian game here it is.

Amended Pathologic pin

Thanks Errol

Before reading your post I simplified the Direction Pad making it Four Way, adding a Double Command 'Inventory/Messages' and 'Diary' under Down, ('the Rescue List' command not needed as it can be accessed by clicking "Adherents" under 'Player Stats' anyway). Added 'Main Screen/Pause' (Escape) command to the Back Button and moved 'Character Hands' to R Joystick Button.

I tried different settings and permutations in the Edit Commands dialogue, all trial and mostly error. I must say the Help section could have made clearer what are the necessary steps, that is what you absolutely must do, but I have a working pin and it was worth the time to learn. As I play mostly Xbox360 console it may be a while before I configure another PC game. There is plenty to learn/do with PGP.

Updated Pathologic Pin.:-D

Added Sticky Button function to the 'Crouch' Command.