Pathologic 3: How to Save Rubin on Day 4 – Grace’s Visions Complete Walkthrough

Saving Rubin From a Premature Burial in Pathologic 3

So you’ve made it through Day 3 in Pathologic 3 and managed to save Rubin from his initial predicament. Congrats! But if you thought that was the end of his troubles, think again. This guy really can’t catch a break.

When Day 4 rolls around, Rubin finds himself in an even worse situation: buried alive in the graveyard. Yeah, it’s as grim as it sounds. The good news? You can save him. The bad news? You’re on a very tight clock, and hesitation means death.

This guide will walk you through exactly how to complete Grace’s Visions thought quest and dig Rubin out before it’s too late.

Prerequisites: You Must Save Rubin on Day 3

Before we get into the Day 4 rescue operation, there’s one critical requirement: you need to have saved Rubin during Day 3. If you let him die earlier, well, he won’t be around to get buried alive on Day 4 (silver lining?).

Check out our complete walkthrough for saving Rubin on Day 3 if you need help with that part. Once he’s safe and tells you to visit him the next day, you’re set up for this quest.

How the Quest Begins: Talk to Grace

When you start Day 4, head to the Stillwater and have a conversation with Grace. She’ll drop some seriously concerning news: someone has been buried alive in the graveyard. Spoiler alert—it’s Rubin.

The moment you hear this information, drop everything else. Seriously. This quest operates on an extremely tight timeline, and if you dawdle around handling other business first, Rubin will suffocate before you reach him.

Racing to the Graveyard: Time is Critical

Here’s where things get intense. You need to get to the graveyard immediately. The game doesn’t mess around with this time limit—arrive too late in the day, and Rubin is already dead.

Finding Rubin’s Grave

Once you’re at the graveyard, navigate to the southeastern corner of the map. You’re looking for a freshly dug grave with a distinctive bell placed on top of it.

The bell is your lifeline here—literally:

• Bell is ringing: Rubin is still alive down there and can be rescued. Move fast!
• Bell is silent: You’re too late. Rubin has already died, and you’ll need to restart the day and try again.

The good news about restarting? If you restart the same day without progressing to Day 5, it won’t cost you any precious Amalgam.

Pro Tips for Success

Handle This Quest First

If you’re serious about saving Rubin, make this your first priority when Day 4 begins. Here’s why: the more quests you complete on any given day, the later your starting time becomes when you restart that day.

If you leave Rubin’s rescue for last and complete several other objectives first, you’ll restart Day 4 much later in the afternoon—giving you almost no time to reach the graveyard before the bell goes silent. Not fun.

Finding the Shovel

You can’t exactly dig someone out with your bare hands (though knowing Pathologic 3, Daniil would probably try). You’ll need a shovel.

Fortunately, the developers were merciful here. The shovel is right there in the graveyard, leaning casually against a building near the entrance. Grab it as soon as you arrive—you can’t miss it.

Even better: once you pick up the shovel, it stays in your inventory permanently. You won’t need to hunt for digging tools again later in the game.

What Happens After You Save Him

Once you’ve successfully dug Rubin out (assuming you made it in time), you’ll have completed Grace’s Visions thought quest. Rubin will be alive, traumatized but breathing, and the storyline can continue with him as an active participant.

This is one of those branching narrative moments that Pathologic 3 does so well—your actions directly shape who survives and how the town’s grim story unfolds. Saving Rubin opens up additional dialogue and quest opportunities that wouldn’t exist if he’d died.

For more help navigating the early game challenges, check out our Pathologic 3 beginner’s guide.

Frequently Asked Questions

Saving Rubin on Day 4 is one of those nail-biting moments that perfectly captures what makes Pathologic 3 so uniquely stressful and rewarding. The game doesn’t hold your hand—it gives you just enough information and expects you to act decisively.

Remember: prioritize this quest, grab that shovel, listen for the bell, and dig fast. Rubin’s survival depends entirely on your speed and planning.

Need more help with other challenging diagnoses and quests? Check out our Herb Bride diagnosis guide for another tricky scenario you’ll encounter.

Good luck, Bachelor. The town is counting on you.