Introduction Adolescence is a critical phase where lifestyle habits, including video game usage, influence long-term health and behavior. Video games, spanning diverse genres, offer both cognitive benefits and potential risks, such as increased aggression or improved social behavior. This review examines the impact of video gaming on adolescents, focusing on areas like eating habits, anxiety, cognitive functioning, and aggression. It aims to uncover patterns and contradictions in research findings, offering insights to guide parents, educators, and policymakers in managing gaming-related behaviors. Materials and Methods A systematic search was conducted across databases like MEDLINE, PUBMED, Scopus, Science Direct, and Google Scholar using search terms such as “Adolescents,” “Video Game,” “Impact,” “Behavior,” and “Randomized Control Trial.” Studies published between 2014-2024, involving adolescents, and available in full-text English were included. Duplicates, non-adolescent studies, and those before 2014 were excluded. Result A total of 82 article were reviewed in which only 20 article met the inclusion criteria. The result help in finding inference between the behaviour modification of adolescents Conclusion The findings reveal that interactive interventions, such as Move games and serious games, positively influence health behaviors, dietary choices, and psychological outcomes among adolescents. Tailored approaches based on demographic factors like age and sex enhance intervention effectiveness, though some programs show limited impact, indicating the need for refinement. Engagement, adherence, and individual characteristics play crucial roles in outcomes, highlighting the complexity of influencing behavior. While many interventions promote healthier habits, further research is required to optimize strategies and assess the long-term sustainability of these behavioral changes.