Phil Lopes, Nuno Fachada, Maria Fonseca
Recognizing player state is only one component of affective game adaptation; inferred experience must also be translated into adaptive interventions that modify gameplay or game content. Although player experience modeling and content adaptation are established research areas, fewer studies examine how sensing, modeling, and adaptation are integrated into complete, empirically evaluated gameplay systems. This PRISMA-guided systematic review analyzes 23 empirical studies published from January 1, 2015, to December 31, 2025, that implement a complete experience-driven loop defined here as the combination of player data acquisition, player experience modeling, and adaptive game content. Complete-loop systems were relatively uncommon in the retrieved corpus, and the selected systems were predominantly oriented toward dynamic difficulty adjustment, engagement, rehabilitation, or performance-related goals. Game telemetry was the dominant input modality, while non-invasive sources with affective relevance, such as facial expression analysis and peripheral interaction data, were less common. Knowledge-based methods, including rule-based systems and heuristics, dominated both modeling and adaptation because of their interpretability and low deployment requirements, whereas machine learning approaches were less frequent and remained constrained by data availability, transparency, and runtime integration challenges. Most importantly, affective information was often used to support challenge calibration or related adaptation objectives, while stress, anxiety, horror, and related affective states were rarely addressed as explicit adaptation targets. These findings identify a gap within this review scope: affective information may enter an adaptive loop without making affective state the objective of adaptation.