Should Gaming Disorder Diagnostic Criteria Include Non-Digital Gaming Activities?

This academic commentary argues that ICD-11's gaming disorder definition focuses exclusively on digital gaming and may overlook potential harms from non-digital gaming activities like collectible card games and tabletop games, which share similar monetization mechanisms with online games. The authors call for empirical research to examine whether non-digital gaming produces similar addiction patterns and harms as digital gaming, and whether such research might inform prevention strategies.