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Child and adolescent psychotherapies, especially therapeutic mediations, use both play and creative activities to promote the emergence of symbolization. Role-playing is a recent form of game, at the confluence of playful and narrative approaches, which is relatively little studied in the psychodynamic field. Nevertheless, it has singular creative properties that connect the work of group creativity, the formation of narratives and stories, and interactivity with the fictional, narrative, and playful framework. Thus, a work of conceptualization bringing together psychoanalytic theory, the ludological approach, and narratology could make it possible to specify the “pliable” characteristics of role-playing games, supporting their inscription in a therapeutic approach.