A unique set of developmental issues present themselves when applying game theory concepts to the creation of interactive music manuscript in video game format for concert performance (game-scores). Paying special attention to structural, mathematical, and sociopsychological similarities, those issues become apparent when observing the correlation between the two distinct human activities of performing music manuscript and playing games. Precepts from ludology (the study of video games) and structural issues applicable to traditional video game development require consideration too. Game-scores may then be evaluated within the context of the benefits and ramifications that result from the convergence of video games and music manuscript.