Orgasm play focuses on using orgasms as a form of play, often incorporating orgasm denial or overload. It can be used to make the recipient uncomfortable or overwhelmed. Dominance is often involved, where the recipient is subject to the desires of the Top.

In orgasm overload, the recipient is made to orgasm multiple times, leading to side-effects like exhaustion or discomfort from over-stimulation. Forced orgasms and toys are often used to induce these orgasms. The Dominance aspect means that the orgasms are no longer solely for the recipient, but are owned and controlled by the applicant. The recipient may be considered a toy.

In orgasm denial, the recipient can be physically or mentally prevented from orgasming while still being sexually stimulated. It can be part of humiliation play or involve chastity play with devices like chastity cages.