Tilt refers to a decrease in playing abilities, due to sudden manifestations of negative emotions (anger or frustration) and engagement in more aggressive behaviour. Tilt is commonly experienced by gamers. The purpose of this article is to assess the psychometric properties of the Video Gaming Tilt Scale (VGTS). A sample of 454 players (81.7% men) completed a set of questionnaires comprising the VGTS and questionnaires assessing internet gaming disorder, anger, impulsivity, anxiety, and depression. The total sample was randomly divided into two distinct samples of a similar size, Group A and Group B, to conduct exploratory and confirmatory factor analyses. The exploratory factor analysis identified two factors of equal weight and fitted the data from Group A well. The confirmatory factor analysis reported an excellent fit with the data for Group B. Internal reliability was good and the correlation between the two factors was moderate. The first factor, “Emotion dysregulation”, describes the emotional dysregulation of tilt, particularly anger. The second factor, “cognitive dysregulation”, measures cognitive dysregulation and its impact on decision-making and strategy judgement. This scale can contribute to a new area of research focusing on the trajectories of gamers and problem gamers.