Yes, it is possible to create a Tetris game in C# using Visual Studio and WPF (Windows Presentation Foundation) for the user interface. Here is a basic example of how you can implement a Tetris game in C#:

1. Create a new WPF Application project in Visual Studio.
2. Add a Canvas control to the MainWindow.xaml file. This will be used as the game board.
3. Create a class called Block that represents a single Tetris block. This class should have properties like X and Y coordinates, color, and a method to draw the block on the Canvas.
4. Create a class called TetrisGame that manages the game logic. This class should have methods to handle user input, update the game state, and draw the blocks on the Canvas.
5. In the MainWindow.xaml.cs file, create an instance of the TetrisGame class and handle the necessary events like key presses to control the game.
6. Implement the game logic in the TetrisGame class. This includes handling block movement, rotation, collision detection, and clearing completed rows.
7. Use the Canvas control’s methods to draw the blocks on the game board.
8. Run the application to play the Tetris game.

This is just a basic outline of how you can create a Tetris game in C# using WPF. You can add more features and enhancements to make the game more interesting and enjoyable.