The present disclosure relates generally to gaming systems and methods that that integrate competitive betting and interactive gaming functions in a single gaming device. The gaming device allows a player to place a bet on a competitive contest as well as play a casino game at the gaming device at the same time. The presentation output and behavior of the casino game played on the gaming device are based on events associated with the competitive contest, as the events happen in real time. In one example, the gaming device alters a display of elements in the casino game based on an event in the competitive contest. In another example, the gaming device, alters the scoring behavior or speed of the casino game based on an event in the competitive contest. Aspects of the present disclosure provide an enhanced gaming experience tied to sports betting at a gaming device.