Since their appearance in the 1960s, computer games have been defined by the interplay of events at the image and sound level. Their connection fulfills numerous functions at both the affective and the semantic level. There are several parallels between the role of sound and music in film and in computer games, but an essential difference is the fact that in many cases the gamers have an interactive control over the course of events in time. With so-called rhythm games and electronic instrument games there are now genres that position the dynamic relation between sound, image, and interaction as the focus of the game itself. Intensive research on innovative interfaces and interaction methods is currently being conducted. Several prototypes for successful music video games have been crucially influenced by multimedia artists.