This study systematically examines the potential of traditional tabletop games as a low-cost, non-invasive psychosocial intervention to promote active and healthy aging. Against the backdrop of global population aging, older adults increasingly face challenges such as cognitive decline, social isolation and reduced physical mobility. While existing research acknowledges the value of tabletop games, it often focuses on isolated outcomes and suffers from methodological limitations-including non-standardized measurement tools, small sample sizes and short intervention durations-which restrict comprehensive conclusions. To address these gaps, this review adopts an interdisciplinary approach, integrating evidence from gerontology, cognitive psychology, public health and game studies. We propose a conceptual model that links specific game mechanics to health-promoting behaviours and aging-related outcomes, framing tabletop gaming not merely as leisure but as a culturally embedded practice with psychosocial benefits. Findings indicate that regular engagement with such games can enhance fine motor skills and hand and eye coordination, slow the progression of cognitive decline, particularly in memory and executive functions and strengthen social connections, thereby reducing feelings of loneliness. The study concludes that traditional tabletop games represent a highly accessible, enjoyable and scalable intervention that can effectively complement formal health and social services. They offer a practical, sustainable strategy to mitigate complex aging-related challenges, especially in resource-limited settings and community-based care environments.

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