The issue of whether transgender people have fair representation in media, specifically gaming media, has been an area of study and debate, especially when it concerns the accurate representation of their identity. Often gaming content may include one or more transgender characters in the storyline and how they are portrayed determines the nature of their representation. Individual studies have been conducted to analyze various sample game titles, and their representation and outlook of transgender people, as well as the community itself. The purpose of this study is to compile relevant studies into a cohesive whole in order to further substantiate the hypothesis. Through a systematic review, the regressive nature of transgender representation in video games has been explored.