TL;DR
- Top CSGO players experience severe physical symptoms including vomiting and exhaustion from tournament stress
- Teams face over 200 travel days annually, creating unsustainable mental and physical health burdens
- Scheduling reforms intended to help players actually increased tournament density and qualification pressure
- The qualification system forces participation in multiple overlapping events to earn ranking points
- Structural changes are needed to prevent long-term damage to players’ health and careers

Counter-Strike: Global Offensive maintains its legendary status in competitive gaming since the original 1999 release, yet the current tournament structure creates alarming health consequences for professional competitors.
Recent months witnessed elite players like Lukas “gla1ve” Rossander and Andreas “Xyp9x” Højsleth stepping away from professional play. Their departures stem from legitimate concerns: relentless tournament schedules, exhausting international travel demands, and inescapable performance pressure. Astralis standout Nicolai “dev1ce” Reedtz recently disclosed how extreme competitive demands triggered physical illness symptoms.
During discussions with Danish media outlet sport.tv2.dk, dev1ce revealed experiencing physical sickness following tournament conclusions.
“I continue battling multiple stress manifestations personally. After every competition concludes, I endure approximately thirty-six hours of nausea and vomiting as adrenaline levels plummet,” dev1ce explained.

dev1ce’s stress response represents an extreme case, yet similar patterns affect numerous competitors. While few CSGO professionals openly discuss the psychological toll of demanding schedules, many express worries about the non-stop tournament calendar. Team Liquid veteran Jonathon “EliGE” Jablonowski detailed how his organization logged more than 200 travel days during 2019 alone. The cumulative fatigue and pressure prompted Liquid to withdraw from IEM Beijing that season.
“The mental strain has been exceptionally challenging for our roster,” EliGE stated.
CSGO’s Tournament Schedule Reaches Critical Mass
Early 2020 initiatives by tournament organizers and the Counter-Strike Professional Players Association targeted creating more manageable schedules for competitors. New competitive structures emerged featuring revenue distribution models and player representation systems. These leagues, including FLASHPOINT and the redesigned ESL Pro League, sought to unify professional Counter-Strike. However, global circumstances beginning January 2020 pushed events online and disrupted these improvement efforts.
The postponement of ESL One Rio, the year’s first CSGO Major, further complicated matters. Developer Valve rescheduled the tournament for November while mandating that all squads re-earn qualification status. This decision introduced three additional tournaments to the already packed CSGO calendar, with events extending beyond typical weekend durations. Valve’s inaugural Regional Ranking competition, Road to Rio, spanned nearly four weeks while conflicting with DreamHack Masters Spring and BLAST Premier events. ESL’s Pro Tour framework makes participation in DreamHack Masters and similar tournaments practically compulsory for qualifying to CSGO’s premier annual championships.
Interested in ESL’s Pro Tour mechanics? Explore our detailed analysis through the image link below.

Qualification slots for prestigious events including ESL One Cologne 2020 and IEM Melbourne depend on points accumulated at smaller competitions, leaving athletes with minimal choice except enduring the grueling schedule. However, as Astralis demonstrates, these overlapping tournaments may inflict more damage than benefits on CSGO’s rapidly expanding competitive landscape.
The competitive structure overhaul intended to alleviate player burdens ironically intensified schedule density. League consolidation efforts through FLASHPOINT and ESL Pro League restructuring created additional mandatory participation requirements rather than reducing calendar congestion.
Valve’s Regional Ranking system implementation generated unexpected scheduling conflicts, with Road to Rio’s month-long duration creating impossible choices for teams managing multiple competition obligations. The points-based qualification framework forces organizations into participating in virtually every available tournament to maintain ranking positions for major event eligibility.
Professional players now face a paradoxical situation where reforms designed to protect their wellbeing actually increase competitive demands. The transition to online tournaments during global disruptions failed to reduce overall schedule pressure, instead creating new forms of competitive stress through continuous digital competition.
Addressing CSGO’s scheduling crisis requires fundamental structural changes rather than superficial adjustments. Tournament organizers must implement mandatory off-seasons, travel limitation agreements, and health monitoring protocols to protect competitor welfare.
Effective solutions include implementing maximum tournament participation caps per team, creating regional competition hubs to reduce travel, and developing standardized rest periods between major events. Player associations should negotiate contractual protections ensuring adequate recovery time and mental health support services.
The industry must prioritize long-term athlete health over short-term content generation. Sustainable scheduling models balance competitive integrity with human performance limitations, recognizing that burned-out players cannot maintain peak performance levels.
Action Checklist
- Implement mandatory 7-day rest periods between international tournaments
- Establish player health monitoring systems with regular psychological assessments
- Negotiate travel limitation clauses in player contracts
- Create regional competition hubs to minimize international travel demands
- Develop standardized off-season periods of at least 8 weeks annually
No reproduction without permission:Games Guides Website » dev1ce admits he pukes from event stress, questions CSGO’s circuit Professional CSGO players face severe health impacts from the game's demanding tournament schedule and travel requirements
