They create the games and cause things (ex. fire-ball attack on Katniss) to happen.
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In the first book, the gamemakers add wildfires, tracker jackers, and those hound things.
the capitol's technology is so advanced that they can do pretty much anything with a touch of a button.
The animals in The Hunger Games were created by the Gamemakers, who could influence the entire Hunger Games. They had control of the entire landscape, and if they wanted a knive to shoot out of the ground and into Katniss, they could've made it happen. They tried to make things happen in a way to please the crowd.
Titus was the cannibal. There aren't any rules in the Hunger Games, so they couldn't disqualify him or anything, but the Capitol didn't like watching him eat the other tributes, so the Gamemakers killed him in an avalanche.
After the tribute's time with the Gamemakers, the Gamemakers will give them a score between 0 and 12 (highest being 12 and lowest being 0). Careers usually score from 8 to 10.