Yes, they do get worn out. The motors spinning those disk anywhere from 5400RPM to 15000RPM can die. The heads can crash into the disks and damage them. Substrate on the disks can become damaged and bad sectors can result. I generally replace them at or around the time the warranty ends..YMMV.
It can cause boot failures BSODs (assuming a Window$ gaming rig) random hard locks, random crashes, failures to load games, or maps in a game (or crashes in a game when attempting access something on a bad sector). It really depends on the damage to the disk.
You can use the open source smartmontools to view the S.M.A.R.T. information on your harddrive here http
/www.smartmontools.org/.
Seeing things like:
187 Reported_Uncorrect 0x0032 100 001 000 Old_age Always - 4294495412
188 Command_Timeout 0x0032 100 001 000 Old_age Always - 4295033313
indicate a serious drive problem, depending on the drive. You'll need to dig a little from the manufacturer to figure out when numbers are out of norm.
Other things will be a series of errors like:
Error 2 occurred at disk power-on lifetime: 3648 hours (152 days + 0 hours)
When the command that caused the error occurred, the device was active or idle.
After command completion occurred, registers were:
ER ST SC SN CL CH DH
-- -- -- -- -- -- --
84 51 00 40 bd d9 08 Error: ICRC, ABRT at LBA = 0x08d9bd40 = 148487488
Commands leading to the command that caused the error were:
CR FR SC SN CL CH DH DC Powered_Up_Time Command/Feature_Name
-- -- -- -- -- -- -- -- ---------------- --------------------
61 00 40 40 c6 d9 40 00 00:27:44.157 WRITE FPDMA QUEUED
61 00 38 40 c5 d9 40 00 00:27:44.155 WRITE FPDMA QUEUED
61 00 48 40 c4 d9 40 00 00:27:44.154 WRITE FPDMA QUEUED
61 00 18 40 c3 d9 40 00 00:27:44.153 WRITE FPDMA QUEUED
61 00 30 40 c2 d9 40 00 00:27:44.153 WRITE FPDMA QUEUED
Although these errors can be caused by temporary things (sata controller drivers for instance running into a "bug")and also faulty power supplies. In fact, if your drive is within the warranty period and failing, outside of getting a lemon, you may have a faulty power supply or faulty power cable to the hard drive. Nothing ruins an HDD, outside of shock, faster than bad power (or a manufacturer that has gate in its name's consumer division).