Can Video Games Cause Vertigo and Dizziness?

Video games can cause dizziness, disorientation, and nausea, a cluster of symptoms commonly referred to as “cybersickness” or “simulator sickness.” This phenomenon is a recognized form of visually induced motion sickness that affects many players, particularly those engaging with fast-paced, three-dimensional environments. It is not a physical illness but a temporary, negative side effect resulting from how the brain processes conflicting sensory information. Symptoms, including a feeling of unsteadiness or spinning, are especially common in first-person perspective games where the screen simulates the player’s movement through the virtual world.

The Mechanism of Sensory Mismatch

The explanation for game-induced dizziness centers on the Sensory Conflict Theory, which describes a profound mismatch between the body’s internal sensors and the visual data being received. The brain constantly monitors two primary sources of movement information: the visual system and the vestibular system. The visual system perceives the rapid motion, acceleration, and rotation occurring on the screen.

In contrast, the vestibular system, located in the inner ear, detects the actual physical movement of the head and body. When a player is sitting stationary on a couch or chair, the inner ear sends a clear signal to the brain that there is no real movement. The brain receives a contradictory message—the eyes report spinning and rapid motion, but the inner ear reports stillness.

This conflict confuses the central nervous system, which may interpret this sensory incongruity as a sign of poisoning. The evolutionary response is the induction of nausea and dizziness, a protective mechanism designed to prompt the body to expel what is perceived as a toxin. The resulting disorientation, vertigo, and stomach distress are a byproduct of the brain’s attempt to resolve the contradictory information.

Specific Visual Triggers in Gaming

Certain technical and design characteristics intensify the sensory mismatch, directly contributing to the player’s discomfort. A low frame rate, which causes motion to appear jerky or stuttered, is a significant trigger because it disrupts the smooth visual flow the brain expects. Similarly, aggressive motion blur effects can increase visual instability and lead to rapid onset of symptoms.

The Field of View (FOV) setting in first-person games is influential, as a narrow FOV can create a tunnel-vision effect that exaggerates the perception of speed and movement. Another common design feature, known as “head bob” or “camera shake,” simulates the up-and-down movement of a character’s head while walking, but this artificial motion can be highly disorienting when the player is physically still. These issues are amplified in Virtual Reality (VR) environments, where the visual field is completely filled with simulated motion, creating a more intense sensory conflict.

Practical Steps to Reduce Symptoms

Players can take several steps to minimize the severity and frequency of cybersickness symptoms. Environmental adjustments help, such as ensuring the room has adequate ambient lighting, which helps peripheral vision register the stationary surroundings outside the screen. Sitting farther back from the display also reduces the amount of the visual field dominated by the screen’s movement.

Behavioral changes are effective, including taking short but frequent breaks (ideally every 20 to 30 minutes) to give the sensory systems a chance to reset. During these breaks, focus on a fixed point in the room or step away from the screen entirely to get fresh air. For susceptible players, starting with very short play sessions and gradually increasing the duration allows the brain to slowly acclimate to the simulated motion.

Adjusting in-game settings is the most direct way to alleviate triggers; this can involve widening the Field of View (FOV) if the game allows, which provides a more natural perspective. Disabling visual effects like motion blur, camera shake, and head bob should be a priority, as these are known exacerbators of the visual-vestibular conflict. For immediate relief, consuming ginger (such as ginger ale or ginger chews) or using over-the-counter motion sickness aids can help manage the accompanying nausea.

When to Consult a Healthcare Professional

While temporary dizziness and nausea from gaming are common, players should be aware of signs indicating a need for professional medical evaluation. Cybersickness typically resolves quickly once the game is stopped, so if symptoms of vertigo or disorientation persist long after the screen is turned off, a consultation is warranted. It is important to see a healthcare professional if the dizziness is severe, starts suddenly without a visual trigger, or regularly disrupts daily life.

Medical attention is necessary if symptoms are accompanied by more serious issues, such as a severe, sudden headache, a change in hearing, or any loss of feeling or coordination. Persistent or unusually severe symptoms should not be attributed solely to gaming, as they may indicate true inner ear conditions or other underlying medical issues.