Tabletop role-playing games (TTRPGs) offer a unique space for therapeutic growth by aligning with the principles of Acceptance and Commitment Therapy (ACT). ACT's six elements—mindfulness, values, committed action, self as context, defusion, and acceptance—parallel key aspects of TTRPGs, such as being present in the moment, embracing character-driven exploration, and accepting the unpredictability of dice rolls. These games provide a safe environment to navigate challenges, celebrate successes, and explore life lessons without real-world consequences.