The Japanese video game magazine Famitsū assigns scores to video games by having four reviewers each give a score from 0 to 10 (with ten indicating the best game). The scores of the four reviewers are then added up for a maximum possible score of 40. From the twenty two games awarded with a perfect score as of 2016, three are for the Nintendo DS and five are for the Wii. The PlayStation 3 also has five games with a perfect score and the Xbox 360 has four, with both consoles having two titles in common. The others are for different platforms with only one title each. Franchises with multiple perfect score winners include The Legend of Zelda with four, Metal Gear with three, followed by Dragon Quest and Final Fantasy with two.

As of 2016, every game but two with a perfect score are from a Japanese company, eight of them being published/developed by Nintendo, four by Square Enix, three by Sega, three by Konami, two by Namco and one by Capcom. As of 2016, the only two completely foreign games to achieve a perfect score are The Elder Scrolls V: Skyrim by Bethesda Softworks and Grand Theft Auto V, from Rockstar Games. Other foreign games that have achieved near-perfect scores are Grand Theft Auto IV, Red Dead Redemption, L.A. Noire and Red Dead Redemption 2 – all four of which came from Rockstar Games; Call of Duty: Modern Warfare 2, Call of Duty: Black Ops, and Call of Duty: Modern Warfare 3 – all from Activision, although published by Square Enix in Japan; Uncharted 4: A Thief's End, from Naughty Dog; and Gears of War 3 from Epic Games. (Kingdom Hearts II is a joint effort between Square Enix and the U.S.-based Buena Vista Games.)

As of 2017, twenty-five games have received perfect scores from Famitsu.

As of 2019, forty-nine games received a near-perfect score of 39 (in which one of four reviewers gives the game a "9" while the other three give "10s").

Famitsu administers the Famitsu awards. Video games receive a number of different awards in categories like Innovation, Biggest Hit, Rookie Award, Highest Quality, etc. One or two "Game of the Year" awards are granted as the top prize. Top prize winners are determined by a combination of critical and fan review scores as well as sales figures. They also give an "Excellence Prize" to other games that don't receive the top prize.

In March 2006, Famitsu readers voted for their 100 all-time favorite games.^[70]