Video slot machines (VSMs) have high potential to trigger harmful gambling behaviours. Yet, the psychological factors linked with VSM use among adolescents remain poorly investigated. The researchers surveyed a total of 7,959 Italian adolescents aged 15 to 17 in 2018 and 2022. Regular VSM use of at least once a month was reported by 108 participants (1.4%). Regular VSM use was more frequently reported by those who rated their problem-solving ability as high or low. It was also more frequently reported by those with high or low levels of current and expected social fulfillment, as well as those with low self-ratings in current and expected educational/work fulfillment.