Background: Mindfulness is a practice used to help the individual to find the right behavior and become aware of own behavior, habits and own reactions; it is very useful for teenagers to give up away from addictive behaviors Aim of the study: Assess the relation between mindfulness awareness and internet gaming addictive behavior among university students. Research design: A descriptive correlational research design was used in the study. Setting: The study was conducted at Suez Canal university- Ismailia city in randomly selected six faculties divided in to two medical, two practical and two theoretical faculties. Sample: A systematic random sample of 102 university students were selected in this study. Tools for data collection: Data were collected using five tools namely; knowledge about internet gaming, video game usage questionnaire, game addiction scale, problematic video game play revised scale and mindfulness attention awareness in addition to demographic characteristics sheet. Results: There were highly statistically significant relations between low levels of highly engaged, problem gamers, addicted gamers and high level of mindfulness. It is evident that game addiction increased with low level of mindfulness. Conclusions: There is a relation between mindfulness awareness and internet gaming addictive behavior and special attention should be given to the pattern of internet gaming addictive behavior among university students. Recommendations: Raising adolescents' awareness about adverse effects of internet gaming addiction on their health status; through mass media and health education programs at schools, universities and family-centered care.