Systems and methods for providing various forms of feedback are provided and can be implemented in a system, for example, between a gamer and a gaming system. One or more embodiments might be included and directed toward providing feedback between a gamer and the gaming system by way of one or more various forms of controllers that might be used by a gamer in playing a game or in setting up or configuring the game. Various bio-feedback mechanisms might be implemented to provide feedback from the game controller to the game in response to the condition, state, or behavior or the user. For example, in one embodiment, heart rate monitors, temperature sensors, or other biological or physiological sensors can be included with, incorporated in or integrated into the controller to sense a gamer's biological or physiological sensors condition.