Video game design refers to planning, designing, and creating video games. Video game designers will often work closely with other members of a team to create video games for computers and video game consoles. Designing video games is a very specialized and challenging career.Contrary to what some may believe, the majority of video games are not created overnight, or even in a few weeks.ideo game designers will often work closely with other members of a team to create video games for computers and video game consoles. Designing video games is a very specialized and challenging career. Contrary to what some may believe, the majority of video games are not created overnight, or even in a few weeks.