The company was founded in 1969 as a jukebox rental and repair business in Osaka, Japan, by Kagemasa Kōzuki, the still-current chairman and president. The name "Konami" is a conjunction of the names Kagemasa Kozuki (current chairman and president), Yoshinobu Nakama, and Tatsuo Miyasako. Konami is currently headquartered in Tokyo and additionally operates health and physical fitness clubs in Japan.
Konami also operates United States activities in El Segundo, California for video games and Paradise, Nevada for the casino gaming industry. Its Australian gaming operations are located in Sydney, Australia, and distribution of Konami's games in Australia is handled by Mindscape Australia.