`titrebSummary`/titrebIt is forward-looking to use ludic video materials in psychotherapy. Nowadays we know better virtual world’s possibilities to enlighten the patient’s inner universe and his psychic conflicts. But still, few writings are based on concrete cases or on clinical experiences based on video games’ mediation. Basing our reflection on clinical examples, we hope to show how much more psychotherapy can gain by using the video game as a mediation. But we also point out the necessity of a reflection about a video game which would be a clinical material created and thought for practitioner by practitioners.