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Mariam Nusrat, Founder and Director of GRID – Gaming Revolution for International Development, Education Specialist at the World Bank in Washington, DC, developed low-cost digital games to trigger social dialogue, raise awareness, enhance empowerment and inspire behavior change for a global audience, with a focus on solutions for mental illness in Low- and Middle-Income Countries (LMICs). Potential ethical implications,  the need for inclusive and participatory approaches for future efforts in LMICs (incentivizing real-world actions through virtual rewards) and bidirectional lessons learned (anti-racism games in the US)