As gambling and gaming access increases, adolescents face choices that can be illegal or unhealthy. In 2022, 6-9% of Minnesota youth hid their gambling behavior, and 5-8% believed they might have a problem. These activities can harm their mental and physical health, education, and relationships. Risk factors include cultural background, family history of mental illness or substance use, and personal substance use. This presentation will explore current trends in youth gambling and gaming, their impacts, the connection to substance use, and prevention strategies. It will also discuss the Minnesota Alliance on Problem Gambling's efforts to create prevention materials in response to requests from parents and community members.