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You also have to eat and sleep.
As for the stalking NPC - kinda, there are clouds of the plague which you will encounter in infected districs which will chase you and you have to avoid them to not become infected, but they certainly won't cut.
Still, Pathologic isn't a horror game, more of a survival fps-adventure, which is carried by its story. If you don't enjoy the story, or story-heavy games in general, Pathologic is probably not the game for you.
It's not really a conventional horror game though. It's more of a surreal descent into madness as you watch the situation get worse each day. The suspense is great. I've always said that the game "gets you under its boot, and then crushes."
It's still really old and rough around the edges. If you haven't heard already, this game is getting a full modern remake, and this is just a remaster of the original getting released on Steam.
The survival system is still way more interesting than anything I've played since - because it's so perfectly balanced and fits so well into the narrative and world and the game is primarily about the atmosphere and characters - the grueling survival gameplay just adds to the really intense brooding tension and slow-paced atmosphere and narrative so much more.
You want to keep Immunity high, and Infection low, which will naturally progress in reverse directions over time(more with repeated exposures). So... chug those drugs, but since they eat health or fatique themselves... better be careful with them.
The "monster" knows you can't escape. And so do you. Many hours of foreboding, suspenseful torture. This was always my favorite brand of horror. I think only silent hill does it anywhere near as well as Pathologic.
Just give it a try!
You're wrong, man, this is a sadistic hardcore quest.
The developers want you to feel anal pain from the slow steps of the character, the rapid passage of time and the broken mechanics of close combat.