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The International Olympic Committee’s (IOC) recent announcement of the Olympic Esports Games signals a new era of institutional recognition for esports players and the field. Despite the elevation of esports to Olympic status, the accompanying attention to protecting and enhancing mental health among esports players has yet to be addressed. This editorial calls on sports medicine, public health and esports stakeholders to treat esports as a legitimate high-performance context and take seriously the mental health of those who compete.