LastAlive: A Hardcore Psychological Survival Simulator Set in a Coma

10/26/2026, 12:11:54 PM (JST)

Release date: 10/23/2026

Tags: #survival #resource-management #management #crafting #simulation #adventure #choose-your-own-adventure #roguelike

User Reviews

Steam rating: Steam positive 0% (1 review) Few reviews, for reference only
Fetched At: 10/26/2026, 12:11:54 PM (JST)

Reference prices

Japan

¥ 785 (JPY)

Steam JP

$4.99 (USD)

Steam Global

Check the requirements against my PC (item by item: confirmed / short / unknown. Nothing leaves your device)

Live Store Snapshot

Body text may reflect the state at publication time. For the latest sale, price, and review changes, prioritize the live price panel, review panel, and the Steam store listing.

Japan Price: ¥ 785
Global Price: $4.99
Price in Your Region: ¥785Prices as Steam lists them per country. What you are actually charged depends on your Steam account settings.Regional prices checked: 11 Nov 2026
Sale Status: Regular pricing
Price Checked At: 11/11/2026, 7:50:14 AM (JST)

The price snapshot and review snapshot differ by about 380 hours. Because they are not always refreshed at the same time, confirm the latest Steam listing before making a purchase decision.

Key highlight

LastAlive is a hardcore psychological survival sim set in a coma-induced illusion. Survive day by day, manage resources, and make choices that affect your sanity and life.

Who this is for

Recommended for survival fans who enjoy psychological tension and meaningful choices. The diary-based UI is unique, and the coma setting adds depth to the narrative.

Hardware Guide for Comfortable Play

Based on the game's recommended specs, showing a comfortable performance target and example parts (PassMark reference)

GPU

Game's recommended spec

NVIDIA GeForce GTX 750 / AMD Radeon RX 550

Comfortable play target

4,264 pts(~130% above spec of 3,280 pts)

Parts near this range

GeForce MX5504,325 pts GeForce GTX 660 Ti4,416 pts Radeon RX 4604,097 pts

* Scores are reference values. Actual performance varies by in-game settings, resolution, and system environment.

Details

Overview

LastAlive, developed and published by NeuroArs, is a hardcore psychological survival simulator that drops you into a world where humanity has vanished without a trace. But here's the twist: the world you see is an illusion crafted by your own brain, because you're actually in a coma.

Your only goal is to survive one more day, complete all the tasks, and finally wake up. Released on October 23, 2026, this single-player experience blends adventure, simulation, and strategy with a roguelike edge, all wrapped in a choose-your-own-adventure narrative.

Highlights

Diary-Based Interface: Forget cluttered status bars and intrusive warnings. Your primary source of information is a handwritten diary and your character's physical symptoms. Fever shows up as trembling hands, and other conditions manifest through bodily cues rather than UI pop-ups.
Every Decision Matters: Each choice you make leaves a permanent mark in an old notebook, and mistakes can cost you health, sanity, or even your life. The game emphasizes consequence and resource management.
Immersive Survival Mechanics: With adjustable difficulty and custom volume controls, you can tailor the experience to your preferred level of challenge. Steam Achievements add replay value, and the roguelike tag suggests runs that keep you coming back.

Who It's For

If you enjoy survival games that demand careful resource management and psychological tension, LastAlive is right up your alley. Fans of choose-your-own-adventure narratives and roguelike mechanics will find a lot to love here.

The diary-based interface and physical symptom tracking offer a fresh take on survival, making it a must-try for players who want something more cerebral than typical zombie survival fare.

Game Info

Developer/Publisher: NeuroArs
Genres: Adventure, Indie, Simulation, Strategy
Release Date: October 23, 2026
Modes: Single-player
Features: Steam Achievements, Custom Volume Controls, Adjustable Difficulty
Languages: English, Russian
Price: Check the latest Steam listing for current pricing.

LastAlive is a unique blend of survival, psychological horror, and narrative choice, all set in a coma-induced illusion. If you're ready to question reality and fight for your sanity, this game might just be your next obsession.