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The Growing Link Between Video Games and Gambling Addiction

In today’s digital age, what starts as innocent gameplay can sometimes lead down a problematic path. Experts are increasingly concerned about the connection between video gaming and gambling addiction, particularly among young men. This troubling trend shows how early exposure to gambling-like features in video games may be priming a generation for serious gambling problems later in life.

The warning signs have been present for years: excessive gaming has been linked to anxiety, depression, eye strain, obesity risks, and other health concerns. But perhaps more alarming is the growing evidence connecting video game mechanics to gambling behavior. “In many ways, video games that young people played as children — many of which have loot boxes that can be won or purchased in the game to allow the player to progress — have primed them for gambling at a very early age by impacting their thought processes,” explains Heather Hugelmeyer, senior director for addiction services at Northwell Zucker Hillside Hospital. Young men are particularly vulnerable because their prefrontal cortex—the brain region responsible for decision-making, risk evaluation, and impulse control—is still developing into their mid-twenties. This biological reality helps explain why a recent poll found that 10% of men between 18 and 30 show signs of gambling problems, compared to just 3% of the general population.

The problem has become so prevalent that treatment centers are adapting to meet the growing need. Northwell’s Garden City Treatment Center launched a dedicated gambling treatment program in March due to increased demand. Within just six months, the program welcomed patients ranging from teenagers to adults over 50, as well as family members of those struggling with addiction. Research indicates that this issue often begins earlier than many parents realize—exposure to seemingly harmless betting by age 12 can quadruple the odds of developing a gambling problem later in life. This exposure comes in various forms, including online advertising, social media, and particularly through video games with gambling-like features such as loot boxes, where players purchase or earn randomized rewards.

While the gaming industry has taken some steps to address concerns, critics argue these efforts fall short. In 2020, the Entertainment Software Rating Board (ESRB) began requiring warning labels for games with loot boxes, but many believe this doesn’t adequately protect vulnerable players. Popular games like “Minecraft” and “Fortnite” have been at the center of discussions about gambling-like mechanics. Though the official version of “Minecraft” doesn’t sell loot boxes, some unofficial multiplayer servers have offered them. “Fortnite” maker Epic Games has defended its practices, stating in a 2022 settlement with the Federal Trade Commission that “there have never been pay-to-win or pay-to-progress mechanics in player-versus-player experiences in Fortnite” and that they “eliminated paid random-item loot boxes in Fortnite: Save the World in 2019.” However, lawsuits continue to claim that video game developers create addictive, gambling-like experiences that exploit users.

The normalization of gambling extends beyond video games to other media as well. Sports broadcasts that display betting lines or scroll odds across the bottom of the screen contribute to the problem. “We now have an entire generation that is growing up with this being normalized to them,” Hugelmeyer warns. “That has repercussions. Add that with the convenience of online betting, it’s really creating a very dangerous combination.” Parents should be vigilant for warning signs that may indicate a gambling problem in their children. These include normalizing gambling behavior at home (such as giving scratch-offs as gifts), sudden interest in competition or having to win, missing household money or unexplained charges, excessive use of video games with loot boxes or paid currency, and significant shifts in attitude toward school and activities, including increased anger, anxiety, or depression.

While these warning signs don’t always indicate a gambling problem, they merit serious attention and conversation. Parents should discuss the risks and consequences of gambling with their children. “While as parents we don’t always feel that way, our voice is the strongest voice of influence in our children’s lives,” Hugelmeyer emphasizes. “By demonstrating your willingness to engage in these conversations, it opens the door and the opportunity for them to come to you if there is an issue.” As the digital landscape continues to evolve, maintaining open communication about these challenges becomes increasingly important for helping young people navigate the thin line between entertainment and addiction. By staying informed and engaged, parents can play a crucial role in preventing gambling addiction before it takes hold, ensuring that what starts as fun and games doesn’t lead to serious long-term consequences.

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