After the rapid rise of smart phones, icon design has been changing dramatically. Apple Inc. created the App Store in 2008, since then, Apps has been very prosperous in five years. App icons are the first visual image in the Apps download interface page, and also represent the visual image of Apps. An attractive icon design plays an important role between the Apps and users. This study was based on the "icon design" theories and the research samples are chosen by Apple's App Store in the United States game category. Then use the content analysis method to construct the game App icon design elements and find the trends of the App icon design. The results are summarized as follows: (1) The study based on theories and summarized four design elements of game Apps icon design: "Simplicity", "Significance", "Identification" and "Meaning". (2) Most of the game Apps icon main images are game characters, game props or game scene. (3) Most of the United States game Apps icon use "Similes" to convey image content, it can help users recognize and notice an icon. "Metaphor" is also a common way to communicate, but the images have to link or associate with users and reduce misunderstanding. The study propose App visual design elements, trends and design suggestions, providing designers and industry design reference.