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The relationship between stress and gaming has been examined, but little is known regarding how specific sources of stress predict different types of gaming behavior. This study utilized 2021 survey data from 5,104 South Korean adolescents to examine how stress sources—Parents-Related, Friends-Related, and Academic—predict Problematic Gaming and Gaming Frequency, and whether these relationships vary by sex. Findings from structural equation modeling revealed nuanced dynamics. Parents-Related Stress positively predicted Problematic Gaming and Gaming Frequency. Friends-Related Stress was linked only to Problematic Gaming and not to Gaming Frequency. Academic Stress was positively associated with Problematic Gaming for males but not for females, and it inversely predicted Gaming Frequency. These findings recommend a layered, multifaceted approach to research and intervention on gaming.