"Gamer neck," eye strain, and carpal tunnel are real threats. Many streamers now hire personal trainers or vocal coaches because speaking loudly for 8 hours straight is surprisingly exhausting.
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Top streamers often work 10–12 hour days. But only 4 of those hours are live. The rest is "offline labor": editing YouTube VODs, clipping highlights for TikTok, negotiating sponsorships, moderating Discord servers, and analyzing analytics. "Gamer neck," eye strain, and carpal tunnel are real threats