In 1964, Eric Berne, MD, captured one's imagination when he wrote "Games People Play", in which he described some common life experiences as repetitive social exercises requiring participants to assume specific roles to achieve an objective or situation about which they were not always aware. He provided fairly involved transactional analyses of each game. It has occurred to the author that the dean's excuse or medical excuse procedure at Duke University may resemble such a game. In this paper, the author describes the Medical Excuse Game and dispenses with a pysychological analysis. (Contains 1 figure.)