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Children and adolescents with neurodevelopmental disorders generally show adaptive, cognitive and motor skills impairments associated with behavioral problems, i.e., alterations in attention, anxiety and stress regulation, emotional and social relationships, which strongly limit their quality of life. This narrative review aims at providing a critical overview of the current knowledge in the field of serious games (SGs), known as digital instructional interactive videogames, applied to neurodevelopmental disorders. Indeed, a growing number of studies is drawing attention to SGs as innovative and promising interventions in managing neurobehavioral and cognitive disturbs in children with neurodevelopmental disorders. Accordingly, we provide a literature overview of the current evidence regarding the actions and the effects of SGs. In addition, we describe neurobehavioral alterations occurring in some specific neurodevelopmental disorders for which a possible therapeutic use of SGs has been suggested. Finally, we discuss findings obtained in clinical trials using SGs as digital therapeutics in neurodevelopment disorders and suggest new directions and hypotheses for future studies to bridge the gaps between clinical research and clinical practice. • Neurodevelopmental disorders have impairment in emotional, social and cognitive skills. • Serious games (SGs) are designed for therapeutic purpose not for pure entertainment. • SGs development for digital therapeutic purpose in children requires a multimodal approach. • SGs is proposed as non-pharmacological-assisted therapy for behavioral disorder in children. • Randomized controlled trials are necessary to validate a SG efficacy in neurobehavior. [ABSTRACT FROM AUTHOR]