| Vectorman - Weapon Select | BillyTime! Games | Vectorman | Action > Platformer | GEN | GP | Improvement | 1.1 | 24 Apr 2021 |
| Vay: Battle rate reduction | insane | Vay | Role Playing | SegaCD | GP | Improvement | 1.1 | 22 Jun 2022 |
| Vapor Trail - Enhanced Colors | Pyron | Vapor Trail: Hyper Offence Formation | Action > Shooter | GEN | G | Improvement | 2.0 | 25 Jun 2015 |
| Vandal Hearts 2 - Take Turns Hack | paul_met | Vandal Hearts II | Strategy > Turn Based | PSX | GP | Improvement | 1.2 | 14 Sep 2022 |
| Simultaneous movement removal patch | denim | Vandal Hearts II | Strategy > Turn Based | PSX | GP | Improvement | 1.0 | 06 Jan 2022 |
| Akumajo Dracula - Vampire Killer - Improvements | FRS | Vampire Killer | Action > Platformer | MSX | O | Improvement | 1.0 | 26 Jul 2011 |
| Valkyrie's Adventure SRAM + QOL | Mentil | Valkyrie no Bouken: Toki no Kagi Densetsu | Role Playing > Action RPG | NES | GP | Improvement | 3.1 | 12 Sep 2022 |
| Valis++ | Sliver X | Valis: The Fantasm Soldier | Action > Platformer | NES | G, T, GP | Improvement | 1.1 | 27 May 2017 |
| Invert Rotation & Y-Axis | ioev | Vagrant Story | Role Playing | PSX | GP | Improvement | 1.0 | 29 Jun 2022 |
| V-Rally 3 - Indestructible Windshield | djedditt | V-Rally 3 | Racing | GBA | G | Improvement | 1.0 | 22 Nov 2022 |
| Screen flash removal for Urusei Yatsura - Lum no Wedding Bell | NovaSquirrel | Urusei Yatsura: Lum no Wedding Bell | Action > Platformer | NES | G | Improvement | 1.0 | 03 Dec 2022 |
| Urban Strike SRAM | BillyTime! Games | Urban Strike | Action > Shooter | GEN | O | Improvement | 1.0 | 18 Feb 2021 |
| Urban Champion Atarisized | Megafield64 | Urban Champion | Action > Fighting | NES | G | Complete | 2.0 | 15 Jan 2014 |
| Uniracers Uncensored | Q | Uniracers | Racing | SNES | T, O | Improvement | 1.0 | 30 Sep 2018 |
| Uninvited Uncensored | Safaribans | Uninvited | Adventure | NES | G, T | Improvement | 1.0f | 24 Aug 2010 |
| Umihara Kawase Christmas Community Challenge | N/A | Umihara Kawase | Action > Platformer | SNES | G, L | Complete | 1.0 | 23 Dec 2019 |
| Ultimate Mortal Kombat 3 - Redux | RealGaea | Ultimate Mortal Kombat 3 | Action > Fighting | SNES | G, S | Improvement | 1.1 | 11 Aug 2017 |
| Ultimate Mortal Kombat 3 Deluxe | Lucas Dext5r | Ultimate Mortal Kombat 3 | Action > Fighting | SNES | G, S, L, GP | Improvement | 2.3 | 29 Nov 2022 |
| Ultimate Mortal Kombat Trilogy | KABAL_MK | Ultimate Mortal Kombat 3 | Action > Fighting | GEN | G, S, L, T, GP, O | Complete | 23 (5125) | 30 Mar 2014 |
| Mortal Kombat Revelations | Smoke | Ultimate Mortal Kombat 3 | Action > Fighting | GEN | G, S, L, T, GP | Complete | 1.00 | 10 Sep 2012 |
