This report investigates the understudied group of VIP Hosts in Macao casinos, who cater to high rollers and may be more vulnerable to problem gambling due to their exposure to heavy betting. To comprehensively profile their gambling behaviors and cognitions, we conducted an anonymous online survey using the Chinese Version of South Oaks Gambling Screen (C-SOGS) and the Gambling Fallacies Measure (GFM). Given the difficulty of accessing this population, we employed the snowball sampling technique to recruit eligible participants. Our analysis included data from 41 participants, and the findings revealed high levels of gambling-related cognitive distortions among VIP Hosts. In addition, 83% of the respondents were classified as non-problem gamblers, with 10% of respondents classified as at-risk gamblers, and 7% classified as pathological gamblers. Despite the small sample size, this report offers a preliminary understanding of VIP Hosts’ gambling behaviors in Macao, paving the way for future research