[Regulating the video game industry from a public health perspective: the case of loot boxes].

Loot boxes constitute a monetization mechanism integrated into many video games, which are considered as akin to gambling. Existing research indicates consistent associations among loot box engagement, addictive behaviors (such as symptoms of gaming and gambling disorders), financial problems, and psychiatric symptoms. The presence of loot boxes in video games is now widely considered as a public health concern. In Switzerland, Parliamentary Postulate 23.3004, titled "Protection against additional features in video games (microtransactions)", was submitted to the National council in 2023 and referred to the Federal council. While some jurisdictions have implemented regulatory measures, others partially delegate this responsibility to the industry, thus raising concerns about its credibility and effectiveness.