This work aims at studying the psychic effects of the virtual-digital death experience in video gaming within a digital-mediated-virtual setting using the New Super Mario Bros U video game software on the console of Nintendo Wii U video game with young adults. The experience of death in the video game in group, echoing the suicide attempt previously carried out by a young woman, allows the presentation of the foundations of the psychodynamic approach of therapeutic mediation while revealing the specificities of the modalities of symbolization in therapy by video gaming.