The Elgato Stream Deck MK.2 is the answer to this question more often than anything else on this page. It is fifteen physical, labelled buttons for things the recipient currently does by alt-tabbing, it is useful whether or not they stream, and it sits in a category most gamers have never once shopped in — which is exactly why they do not already own one. Every pick here follows that rule: it is not a better version of something they have, it is a category they have skipped.
The rule: buy a category, not an upgrade
Buying a “better mouse” for someone who already loves their mouse is how this category goes wrong. They have opinions, they have already optimised, and your version will lose. What they have not done is think about the categories adjacent to gaming: audio outside of headsets, lighting, desk ergonomics, power. Those are wide open.
The Moondrop Aria 2is the clearest example. Someone with a $250 gaming headset very often has genuinely bad earbuds, because those are two different mental categories. A proper in-ear monitor at a fraction of the headset's price is a real upgrade to travel, commuting and handheld play — our best gaming earbuds and IEMs page explains why this category punches so far above its money.
The unglamorous ones that land hardest
The InnoGear boom arm is the cheapest thing on this page and one of the most appreciated. Anyone with a desk microphone is currently leaning toward it; an arm brings the mic to them and stops keyboard thumps travelling through the desk into the capsule. The Lume Cube Panel Mini does the same trick for video: everyone who has ever been on camera knows their lighting is bad and almost nobody fixes it. Both of those show up again on our streaming setup under $500 page for the same reason.
The Anker 737is the pick for anyone with a Steam Deck or ROG Ally — 140W of output is enough to charge a handheld while it is being played, which most power banks cannot do. See best power banks for Steam Deck for the details. And the SteelSeries Arctis Nova Pro Wirelessis here as the honest “money-is-no-object” option: a hot-swap battery system that means the headset is never flat. It is genuinely excellent and genuinely expensive, and our best wireless gaming headsets page does not pretend otherwise.