If you can somehow control, predict or influence the seed you can predict or influence rolls.
For example if the game uses JUST the system time as a seed, I can shift the system time back to a specific position and run the application again to get the same random number generation.
If you know the algorithm, for example you're playing an open source card game, and you can determine the time (offset) on the server or the other players computer you could cheat by calculating their random variables.
Now it really isn't an issue in games, but it's incredibly important in security. Randomness makes up a huge component of encryption.
That's why you have applications that require you to move the mouse a bit, hopefully randomly and they take in a whole bunch of other entropy fed in by the system.
In Unix-like OS's you have /dev/random and /dev/urandom. /dev/random requires a certain amount of entropy and environmental noise, and it blocks on reads until it's satisfied with the output.
/dev/urandom does not block, but it gives pseudo random output. For the purposes of security, /dev/urandom should NEVER be used. However neither are truly 'random'.