diff --git a/static/app/actionCreators/modal.tsx b/static/app/actionCreators/modal.tsx
index 779ce59893865a..b960cb68ff9c9f 100644
--- a/static/app/actionCreators/modal.tsx
+++ b/static/app/actionCreators/modal.tsx
@@ -7,6 +7,7 @@ import type {SaveQueryModalProps} from 'sentry/components/modals/explore/saveQue
 import type {ImportDashboardFromFileModalProps} from 'sentry/components/modals/importDashboardFromFileModal';
 import type {InsightChartModalOptions} from 'sentry/components/modals/insightChartModal';
 import type {InviteRow} from 'sentry/components/modals/inviteMembersModal/types';
+import type {PrivateGamingSdkAccessModalProps} from 'sentry/components/modals/privateGamingSdkAccessModal';
 import type {ReprocessEventModalOptions} from 'sentry/components/modals/reprocessEventModal';
 import type {AddToDashboardModalProps} from 'sentry/components/modals/widgetBuilder/addToDashboardModal';
 import type {OverwriteWidgetModalProps} from 'sentry/components/modals/widgetBuilder/overwriteWidgetModal';
@@ -447,3 +448,13 @@ export async function openTokenRegenerationConfirmationModal(options: ModalOptio
 
   openModal(deps => <Modal {...deps} {...options} />);
 }
+
+export async function openPrivateGamingSdkAccessModal(
+  options: PrivateGamingSdkAccessModalProps
+) {
+  const {PrivateGamingSdkAccessModal} = await import(
+    'sentry/components/modals/privateGamingSdkAccessModal'
+  );
+
+  openModal(deps => <PrivateGamingSdkAccessModal {...deps} {...options} />);
+}
diff --git a/static/app/components/modals/privateGamingSdkAccessModal.tsx b/static/app/components/modals/privateGamingSdkAccessModal.tsx
new file mode 100644
index 00000000000000..094cbc50da4894
--- /dev/null
+++ b/static/app/components/modals/privateGamingSdkAccessModal.tsx
@@ -0,0 +1,174 @@
+import {Fragment, useState} from 'react';
+import {captureFeedback} from '@sentry/react';
+
+import {addSuccessMessage} from 'sentry/actionCreators/indicator';
+import {type ModalRenderProps} from 'sentry/actionCreators/modal';
+import {Button} from 'sentry/components/core/button';
+import {ButtonBar} from 'sentry/components/core/button/buttonBar';
+import SelectField from 'sentry/components/forms/fields/selectField';
+import TextField from 'sentry/components/forms/fields/textField';
+import {t, tct} from 'sentry/locale';
+import type {Organization} from 'sentry/types/organization';
+import {useUser} from 'sentry/utils/useUser';
+
+const PRIVATE_GAMING_SDK_OPTIONS = [
+  {value: 'playstation', label: 'PlayStation'},
+  {value: 'xbox', label: 'Xbox'},
+  {value: 'nintendo-switch', label: 'Nintendo Switch'},
+] as const;
+
+type GamingPlatform = (typeof PRIVATE_GAMING_SDK_OPTIONS)[number]['value'];
+
+export interface PrivateGamingSdkAccessModalProps {
+  organization: Organization;
+  projectSlug: string;
+  sdkName: string;
+  gamingPlatform?: GamingPlatform;
+  onSubmit?: () => void;
+}
+
+export function PrivateGamingSdkAccessModal({
+  Header,
+  Body,
+  Footer,
+  closeModal,
+  organization,
+  projectSlug,
+  sdkName,
+  gamingPlatform,
+  onSubmit,
+}: PrivateGamingSdkAccessModalProps & ModalRenderProps) {
+  const user = useUser();
+  const [isSubmitting, setIsSubmitting] = useState(false);
+  const [githubProfile, setGithubProfile] = useState('');
+  const [gamingPlatforms, setGamingPlatforms] = useState<string[]>(
+    gamingPlatform ? [gamingPlatform] : []
+  );
+
+  const isFormValid = !!githubProfile.trim() && gamingPlatforms.length > 0;
+
+  function handleSubmit() {
+    if (!isFormValid) {
+      return;
+    }
+
+    setIsSubmitting(true);
+
+    onSubmit?.();
+
+    const messageBody = [
+      `User: ${user.name}`,
+      `Email: ${user.email}`,
+      gamingPlatforms.length === 1
+        ? `Platform: ${gamingPlatforms[0]}`
+        : `Platforms: ${gamingPlatforms
+            .map(
+              (platform: string) =>
+                PRIVATE_GAMING_SDK_OPTIONS.find(option => option.value === platform)
+                  ?.label || platform
+            )
+            .join(', ')}`,
+      `Org Slug: ${organization.slug}`,
+      `Project: ${projectSlug}`,
+      `GitHub Profile: ${githubProfile}`,
+    ].join('\n');
+
+    const source = `${sdkName.toLowerCase()}-sdk-access`;
+
+    // Use captureFeedback with proper user context instead of tags
+    captureFeedback(
+      {
+        message: messageBody,
+        name: user.name,
+        email: user.email,
+        source,
+        tags: {
+          feature: source,
+        },
+      },
+      {
+        captureContext: {
+          user: {
+            id: user.id,
+            email: user.email,
+            username: user.username,
+            name: user.name,
+          },
+        },
+      }
+    );
+
+    addSuccessMessage(
+      tct('Your [sdkName] SDK access request has been submitted.', {
+        sdkName,
+      })
+    );
+    setIsSubmitting(false);
+    closeModal();
+  }
+
+  return (
+    <Fragment>
+      <Header closeButton>
+        <h3>
+          {tct('Request [sdkName] SDK Access', {
+            sdkName,
+          })}
+        </h3>
+      </Header>
+      <Body>
+        <p>
+          {gamingPlatform
+            ? tct(
+                'Request access to our [sdkName] SDK. Please provide your GitHub profile.',
+                {
+                  sdkName,
+                }
+              )
+            : tct(
+                'Request access to our [sdkName] SDK. Please provide your GitHub profile and the gaming platforms you work with.',
+                {
+                  sdkName,
+                }
+              )}
+        </p>
+        <TextField
+          name="githubProfile"
+          label={t('Link to your GitHub profile')}
+          placeholder="https://github.com/username"
+          value={githubProfile}
+          onChange={setGithubProfile}
+          required
+          stacked
+          inline={false}
+        />
+        {!gamingPlatform && (
+          <SelectField
+            name="gamingPlatforms"
+            label={t('Select Gaming Platform')}
+            placeholder={t('Select one or more gaming platforms')}
+            options={PRIVATE_GAMING_SDK_OPTIONS}
+            value={gamingPlatforms}
+            onChange={setGamingPlatforms}
+            multiple
+            required
+            stacked
+            inline={false}
+          />
+        )}
+      </Body>
+      <Footer>
+        <ButtonBar>
+          <Button onClick={closeModal}>{t('Cancel')}</Button>
+          <Button
+            priority="primary"
+            onClick={handleSubmit}
+            disabled={!isFormValid || isSubmitting}
+          >
+            {isSubmitting ? t('Submitting\u2026') : t('Submit Request')}
+          </Button>
+        </ButtonBar>
+      </Footer>
+    </Fragment>
+  );
+}