Currently, no data on gaming disorders or their association with mental disorders exist for African countries. This study for the first time investigated 1 the prevalence of insomnia, excessive daytime sleepiness, anxiety and depression among African gamers, 2 the association between these conditions and gamer types i.e., non problematic, engaged, problematic and addicted and 3 the predictive power of socioeconomic markers education, age, income, marital status, employment status on these conditions. 10,566 people from 2 low Rwanda, Gabon , 6 lower middle Cameroon, Nigeria, Morocco, Tunisia, Senegal, Ivory Coast and 1 upper middle income countries South Africa completed online questionnaires containing validated measures on insomnia, sleepiness, anxiety, depression and gaming addiction. ...Our results corroborate previous studies, reporting problematic and addicted gamers show poorer health outcomes compared with non problematic gamers....