Video games are now the most popular pastime, not just in the United States of America, but all over the world. This isn’t a coincidence. Video games today are nothing like the ones that members of Gen X and Baby Boomers grew up with. It’s like comparing a horse and wagon on the Oregon Trail to the next-generation Virgin Galactic spacecraft. Thanks to technological advances since the 1970s, video games today are far bigger, better-looking, longer, more complex, and more addictive than ever before. In this presentation, I will discuss how video games and other products are made more addictive. Specifically, I will discuss features like the Game Play Loop and Dark Patterns, systems designed into many products and services by their creators to increase addictive behavior in users. I will discuss how these designs are significantly more dangerous and addictive to individuals with ADHD. I will discuss the symptoms of video game addiction, ways to reduce risk, and ways to manage video game use. I will also discuss trends such as mobile gaming, downloadable content (DLCs), Non-fungible tokens (NFTs), AI, and other developments that impact games, users, and society in general.