In recent years, the unregulated use of video games has been dramatically growing to the point that it has been included as a new category in the latest edition of the International Classification of Diseases (WHO). Excessive gaming has been studied mostly within the “addiction” model, however different readings of this phenomenon are possible. Although the psychodynamic and psychoanalytical studies on the issue are limited, we have highlighted some of the contributions that may be mostly useful to provide a better understanding of the excessive use of video games and of their potential role, either direct or indirect, in the care of patients that experience this problem.