Abstract: Techniques for concurrent execution of multiple content item processes, such as video game processes, on a single virtual machine instance are described herein. In some examples, developers may provide an indication of a desired content item process quantity count, which is a quantity of content item processes for concurrent execution of content item sessions on each of one or more virtual machine instances. Also, in some examples, the content item process quantity count may be adjustable such that it may be changed, for example in response to various conditions or events. Also, in some cases, collected performance metric information may be used to make intelligent decisions regarding scaling of content item processes. In some examples, when a content item session stops executing on a healthy content item process, the content item process may remain active and may be reused by executing one or more subsequent content item sessions.