Child sexual abuse (CSA) lead to short-term sequelae and long-lasting pervasive outcomes. Research has started addressing CSA as a potential risk factor for later addictions, including pathological gambling. Among Aboriginal peoples, it is plausible that the legacy of residential schooling and other historical traumas have led to unresolved grief that contribute to social problems, such as pathological gambling. The purpose of this brief paper is to report on the few available studies examining the connection between CSA and later pathological gambling. Results show that gambling is more prevalent among Aboriginal than non-Aboriginal populations. Although no causal relationship has been confirmed, experiences of CSA may be related to the later development of pathological gambling among the general population as well as among Aboriginal peoples. However, this link appears complex and indirect and future researches are highly needed. Recommendations based on the implications of this link are proposed for prevention, treatment, and research.