Gambling Risks Linked to Popular Video Games

26 Sep 2025

Experts are increasingly concerned about the growing links between excessive video gaming and the onset of gambling behaviors among young players. Heather Hugelmeyer, a senior director for addiction services at Northwell Zucker Hillside Hospital, highlights that many popular games include mechanics akin to gambling. These features can have a profound impact on developing minds, potentially leading to increased anxiety, depression, and other mental health challenges.

Particularly, industry giants like Minecraft and Fortnite have been noted for integrating elements reminiscent of gambling into their gaming ecosystems. While Minecraft's official platforms do not sell loot boxes, unauthorized third-party servers have been known to exploit this. Although the Entertainment Software Rating Board (ESRB) has mandated warning labels for such mechanics since 2020, critics argue that game developers still design aggressively addictive experiences.

Industry Responses and Challenges

In the past, Epic Games, the developer of Fortnite, responded to concerns by removing paid random-item loot boxes from certain game modes. This move followed a significant settlement with the Federal Trade Commission, where Epic Games paid $245 million to address allegations of deceptive practices related to in-game purchases.

Young men, particularly those aged 18 to 30, are deemed highly vulnerable due to the incomplete development of their prefrontal cortex, the brain region responsible for decision-making and risk assessment. Recent studies suggest that approximately 10% of young men exhibit signs of a gambling problem, compared to 3% of the general population.

Exposure to betting-associated content, often experienced through video games, sports broadcasts, and online advertising, can significantly increase the likelihood of developing gambling issues later in life. Early exposure, as young as age 12, can reportedly quadruple the chances of problem gambling.

Efforts to Mitigate the Risks

As a result of these growing concerns, facilities like Northwell Health’s Garden City Treatment Center have initiated specialized programs to address gambling addictions. These programs not only cater to teens and young adults but also extend support to their families. In just six months, the center has effectively treated a variety of patients, ranging across different age groups.

Parents are urged to remain vigilant about potential gambling behaviors in children. Hugelmeyer advises parents to avoid normalizing gambling at home, being cautious with gifts such as scratch-off tickets, and to resist encouraging or participating in betting activities. Significant changes in behavior, such as an intense newfound competitive nature or unexplained financial discrepancies, should prompt discussions around potential gambling issues.

Additionally, parents are encouraged to closely monitor their children’s interaction with games that offer loot boxes or in-game currencies. Awareness of game content and in-game purchases can help prevent exposure to these gambling-like features that pose significant risks.

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