Key art for The Coma 3: Bloodlines

Game review

The Coma 3: Bloodlines

6.8 / 10

Developer
Dvora Studio Co., Ltd.
Publisher
Headup, Thermite Games
Released
30 April 2026
Platforms
Windows
Genre
2D Run-and-Hide Survival Horror
Monetisation
One-time purchase; optional cosmetic character skin DLC and a Deluxe Edition upgrade
Players
Single-player only

The short version

The Coma 3: Bloodlines closes out a decade-long indie horror trilogy with its strongest visuals yet and a story fans consistently found satisfying, but it launched with real bugs and pacing complaints. This review's research found a documented patch cadence through May and June 2026 addressing enough of that rough start that at least one reviewer explicitly changed their verdict to a recommendation once the fixes landed.

Biggest strengths

  • This review's research found near-universal praise for the visual overhaul, with reviewers across the sample specifically calling out a wider range of character expressions and poses compared to earlier entries in the series
  • The story was consistently described as a satisfying conclusion to the trilogy, tying up plot threads from the first two games and giving one of the returning characters a fuller arc
  • A specific review titled "PATCH 1.1.7 - Turning into a Recommendation" documents a reviewer directly reversing their verdict once a named post-launch patch addressed the game's early frustrations, a rare and useful piece of first-party evidence

Biggest weaknesses

  • This review's research found a recurring launch-week bug complaint about the player character failing to resume movement after a room transition, described by multiple reviewers as especially dangerous during a chase sequence
  • Several reviewers specifically criticized a slow-motion room-transition effect for undercutting tension during chase encounters, with one asking "are we being chased by a terrifying monster or are we taking an evening walk?"
  • A recurring complaint across the sample was the game's short length, with several reviewers reporting all achievements and a full playthrough completed in four to six hours

Who it's for: Existing fans of The Coma series looking for closure on its story, and newcomers who want a short, hand-drawn run-and-hide horror game rather than a combat-focused one.

Our recommendation: Recommended for series fans now that the post-launch patches have addressed the worst early bugs; newcomers should wait for a sale given the short length reviewers consistently reported.

6.8 / 10

The Coma 3: Bloodlines sends players back to Sehwa High School one final time, closing out a 2D hand-drawn run-and-hide horror trilogy that began over a decade ago. You spend the game sneaking past threatening puppets and shadow monsters, gathering clues, and solving environmental puzzles rather than fighting back directly, all wrapped in a story steeped in South Korean shamanism and folk horror. This review's research found a clean, well-documented launch — the developer's own events feed confirms "The Coma 3: Bloodlines is OUT NOW!" on 30 April 2026, matching the storefront's stated release date exactly — followed by a rocky first few weeks that the developer visibly worked to patch through May and June.

A visual step up that reviewers agreed on almost unanimously

If there's one point of near-total consensus in the review sample, it's the art. This review's research found reviewer after reviewer specifically praising the character animation and expression range as a clear step up from the previous two games, while the series' signature hand-drawn style stayed recognizable. One reviewer wrote that "the art style has improved significantly," pointing specifically to "a much wider variety of character expressions and poses," and multiple others echoed the same observation independently. For a series whose earlier entries were already known for their visual identity, that's a meaningful, specifically-evidenced improvement rather than a vague compliment.

Closing a decade-long story, mostly to fans' satisfaction

As the trilogy's finale, Bloodlines carries the weight of resolving plot threads going back to the first game. This review's research found the story landing well with most of the sample: reviewers described it as answering "who these shamans, spirit hunters, and this whole 'coma' are from A to Z," and one long-time fan called it "by far the most complete and thorough" entry, crediting scattered notes throughout the game with fleshing out loose ends. Not every reaction was uncomplicated, though — a handful of reviewers said the plot felt "less engaging" than earlier games, or that the divisive multiple-endings structure diluted the payoff of a single, satisfying conclusion, a friction point that also came up as a specific complaint in this review's research.

A launch-week bug and a slow-motion problem that undercut the chases

Not everything landed cleanly at launch. This review's research found a specific, recurring bug complaint: the player character sometimes failed to resume movement after transitioning between rooms, a problem multiple reviewers flagged as particularly dangerous mid-chase. A related design complaint came up repeatedly too — a slow-motion effect during room transitions that several reviewers said sapped tension from chase sequences, with one reviewer summing it up bluntly: "are we being chased by a terrifying monster or are we taking an evening walk?" A specific enemy type reviewers nicknamed "Campers" also drew repeated frustration as a design choice that could undercut the game's otherwise well-regarded atmosphere.

The patch that changed a verdict

The single most useful piece of evidence this review's research turned up was a review literally titled "PATCH 1.1.7 - Turning into a Recommendation." In it, the reviewer explicitly describes reversing their prior verdict once the named patch shipped: "the developers have continued their hard work, and with the latest patch, the game has finally reached a state where it is much more playable and far less frustrating... I can now genuinely recommend the game to fans of the series." That's about as direct a confirmation as this review's research can find that the developer's visible post-launch patch cadence — six numbered updates between early May and late June 2026, alongside a character skin DLC and a Deluxe Edition update — meaningfully improved the game reviewers were actually playing, rather than being cosmetic changelog padding.

Short, and reviewers were consistent about it

Length was the other recurring complaint across the sample. This review's research found several reviewers independently reporting a full playthrough, including all achievements, in roughly four to six hours — notably shorter than earlier entries in the series, according to reviewers who'd played them all. Some framed that as a natural consequence of a focused, well-paced finale; others explicitly said they wanted more time with the game before it ended. Achievement data backs up a relatively approachable structure overall: the easiest tracked achievement sits at 94.4% of players, tapering down to a single outlier at 16.3%, a curve consistent with a story-focused horror game rather than one built around punishing mechanical mastery.

New tools and a friendlier inventory change how encounters play out

This entry also shifts the series slightly toward direct confrontation rather than pure evasion. This review's research found reviewers specifically noting new options for dealing with threats — a knife, incense, and pepper among the tools mentioned — with one Russian-language reviewer describing this installment as "more action-oriented" than earlier games, where cutting, smoking out, and pepper-spraying opponents is now possible rather than relying solely on hiding. Reviewers were split on whether that shift suited the series: some appreciated the added agency during encounters, while others who'd played the earlier, more evasion-focused entries found the tonal change came at some cost to the tension the series built its reputation on. A smaller but consistently praised change was to the inventory itself — one reviewer specifically highlighted being able to sell unwanted items for the first time in the series, contrasting it with earlier games' habit of piling up duplicate junk items with no way to clear them out, calling it one of the "best" changes in the game.

Taken together, The Coma 3: Bloodlines reads as a trilogy closer that mostly delivered on its promise — strong art, a story fans wanted resolved, and a developer that stayed visibly engaged fixing real problems after launch — while landing rough enough in its first weeks, and short enough overall, that it falls a notch short of an easy, unqualified recommendation.

Pros and cons

Pros

  • This review's research found near-universal praise for the visual overhaul, with reviewers across the sample specifically calling out a wider range of character expressions and poses compared to earlier entries in the series
  • The story was consistently described as a satisfying conclusion to the trilogy, tying up plot threads from the first two games and giving one of the returning characters a fuller arc
  • A specific review titled "PATCH 1.1.7 - Turning into a Recommendation" documents a reviewer directly reversing their verdict once a named post-launch patch addressed the game's early frustrations, a rare and useful piece of first-party evidence
  • A visible, sustained post-launch patch cadence — six numbered patches between early May and late June 2026, plus a character skin DLC and Deluxe Edition update in June — shows the developer actively supporting the game well past its launch week

Cons

  • This review's research found a recurring launch-week bug complaint about the player character failing to resume movement after a room transition, described by multiple reviewers as especially dangerous during a chase sequence
  • Several reviewers specifically criticized a slow-motion room-transition effect for undercutting tension during chase encounters, with one asking "are we being chased by a terrifying monster or are we taking an evening walk?"
  • A recurring complaint across the sample was the game's short length, with several reviewers reporting all achievements and a full playthrough completed in four to six hours
  • A specific enemy type, nicknamed "Campers" by reviewers, was repeatedly singled out as a frustrating design choice that could undercut an otherwise well-regarded atmosphere

Category scores

Category scores are the reviewer's read on each area. They inform the overall score but do not average into it — the number at the top of the page is a judgement, not a calculation.

  • Gameplay 6.5 / 10
  • Visuals 8 / 10
  • Progression 6 / 10
  • Interface 5.5 / 10
  • Story 7.5 / 10