The Serious Games Arcade and Showcase at the International Meeting for Simulation in Healthcare (IMSH) 2014 was bigger and better than ever. IMSH is the official conference of the Society for Simulation in Healthcare (SSH). Over 350 people attended the arcade. Feedback from various stakeholders was overwhelmingly positive with feedback saying the Arcade and Showcase was one of the highlights of IMSH and that more time and space should be allocated to Serious Games and Virtual Environments. The judging for