Recent seismological observations have reported volcano-tectonic (VT) earthquakes with fault-plane solutions exhibiting a change of ~90° in their pressure axes relative to the regional stress field. Interestingly, they are recorded mainly during periods preceding eruptive activity and coexisting with those VTs showing a regional trend. This study explains the occurrence of such trends in VT seismicity and discusses the possible patterns of earthquake locations related to the interaction of regional and magma-induced stresses caused by pressurization or depressurization of magmatic sources. Our analysis shows that in the presence of a dominant regional stress field, faulting will occur on faults whose associated slip direction is close to or in agreement with the background regional stress. Failure on faults with an opposite slip direction is unlikely to occur. As magma pressure starts counter-acting the regional stresses, the likelihood of faults to slip in either a regional or opposite sense of slip relative to regional maximum compression increases, allowing the co-existence of possible failure with both slip tendencies, however the spatial distribution of possible faulting differs. As the pressure is progressively increased, the stress patterns gradually approach those corresponding to the absence of a regional stress field. The presented modeling results have implications for volcanic monitoring routines aiming to detect changes in stress patterns. They will ultimately help to improve the correct interpretation of volcano-tectonic seismicity.