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Numerous video games featuring Hello Kitty have been produced since the release of Sanrio Carnival for the Nintendo Famicom (internationally known as NES) in 1990 and the following year on the Game Boy; however, the majority of these games were never released outside of Japan. Hello Kitty also has made many cameo appearances in games featuring other Sanrio characters, such as the Keroppi-based Super Famicom (Super NES) game in 1994, Kero Kero Keroppi no Bōken Nikki: Nemureru Mori no Keroleen. Special edition versions of various older consoles such as the Hello Kitty Dreamcast, Hello Kitty Game Boy Pocket, and Hello Kitty Crystal Edition Xbox have also been released exclusively in Japan.

In 1996, Big Top Productions released Hello Kitty Big Fun Deluxe for Mac & Windows with three guest characters Joey Mouse, Cathy Rabbit, and Thomas Bear making appearances within the game.

The latest major Sanrio video game featuring Hello Kitty and her friends so far is Hello Kitty Island Adventure, for Apple Arcade, PC, PlayStation 4, PlayStation 5, and Nintendo Switch, in 2023.

Licensed crossover content in other games

In 2015, she made a playable appearance in Nintendo's Wii U game Super Mario Maker of the Super Mario franchise, in the form of a special Mystery Mushroom costume in the "Super Mario Bros." theme exclusively. When the player plays as her (or My Melody, who also appears as a costume) and finishes a level or loses a life, the respective jingles have Hello Kitty effects. If the player presses down to crouch, she sits down in a position based on her debut artwork, and when pressed up, she looks at five apples next to her.

In 2016, she, alongside few other fellow Sanrio characters such My Melody or Badtz-Maru, made a playable guest appearance in Sega's mobile app game Sonic Dash of the Sonic the Hedgehog franchise, during a collaboration with a Sanrio event.

In 2018, she, and her sister Mimmy, made a playable guest appearance in Devsisters' mobile game Cookie Run Ovenbreak, as part of the November 29's collaboration update "Hello Kitty's Surprise Visit!"

In 2021 and 2023, Hello Kitty and several other popular Sanrio characters made a cameo appearance the Animal Crossing: Pocket Camp mobile game of the Animal Crossing series, again in collaboration by Nintendo with a limited-time Sanrio event called "Pocket Camp X Sanrio", as an available shirt, fan, backpack, and a plush item as well as furniture (with the couch being the rarest), albeit expensive to purchase in-game. However, in the Pocket Camp Complete version, like other exclusive items (Mario, Splatoon, and Eevee from Pokémon), they are unfortunately no longer available and are therefore only seen by players who managed to obtain them beforehand. Despite this, it is recently discovered that they are each still in the game's code, and can be accessed - though illegitimately, by hacking the internal save data. Animal Crossing: New Leaf for the Nintendo 3DS was the first to feature the most of the same furniture to unlock via the Animal Crossing: New Leaf - Welcome Amiibo Sanrio card pack. New Horizons for the Nintendo Switch, also features Sanrio-based content. Like some other characters of Sanrio, Hello Kitty is represented in Animal Crossing: New Leaf - Welcome Amiibo's Sanrio card pack by the peppy gorilla villager Rilla. She has an entire line of furniture and clothing modeled after the company's mascot.

In December 2023 Sanrio collaborated with “Hatsune Miku Colorful Stage” where for a limited time you could view area conversations of the characters talking with Sanrio characters (example Hatsune Miku talking with Hello Kitty) and there was a limited Gacha banner where the characters Hatsune Miku, Tenma Saki, Momoi Airi, Aoyagi Toya, Otori Emu and Shinonome Ena got cards featuring Hello Kitty, Pompompurin, My Melody, Pochacco, Cinnamoroll and Kuromi respectively. Characters who didn’t get a 4 star card like those listed above got 2 star cards exclusive to the Sanrio collaboration banner.

In 2024, in an update, she made a cameo appearance in the RPG game Persona 5 based on the Megami Tensei series interacting with the character Goro Akechi.