This book constitutes the proceedings of the 4th International Conference on Serious Games
JCSG 2018 held in Darmstadt Germany in November 2018. The 15 full and 12 short papers
presented in this volume were carefully reviewed and selected from 40 submissions. They were
organized in topical sections named: serious games studies game-based learning and teaching
game development - serious games design models tools and emerging technologies and serious
games for health.