To examine the rarely reported phenomenon of binge problem gambling via a case study. A male 31-year old “fruit machine addict” was interviewed three times over a three-month period. The participant was diagnosed as a pathological gambler using both the South Oaks Gambling Screen and the DSM-IV criteria. The male gambler displayed a very unusual pattern of problem gambling that would best be described as binge gambling. The participant’s gambling binges were typically caused by very specific ‘trigger’ incidents (e.g., relationship break-up). Gambling problems appeared to be related to low self-esteem coupled with feeling depressed and having nothing else to do. Gambling problems were usually linked to other underlying problems. When these are dealt with, his problem gambling all but disappeared. Binge problem gambling appears to be less serious than chronic problem gambling but can still cause significant problems in the lives of people it affects.