A new study from WalletHub ranks the most gambling-addicted states in the U.S. for 2025, revealing stark differences in how deeply gambling impacts communities nationwide. The report analyzed 20 key metrics, including gambling laws, revenue, addiction rates, and availability of resources.
Nevada tops the list again
Unsurprisingly, Nevada ranks as the most gambling-addicted state in 2025. The state has the highest number of casinos and gaming machines per capita, with around 2.7% of its adult population suffering from gambling disorders. Nevada also leads in arrests for illegal gambling and hosts more Gamblers Anonymous meetings per capita than any other state.
South Dakota and Montana follow close behind
South Dakota came in second. The state has one of the highest rates of gaming machines and casinos per capita, as well as strong lottery participation. Sports betting, fantasy sports, and horse-race gambling are all legal there.
Montana ranks third, with 2.5% of adults experiencing gambling addiction. However, the state lacks gambling counselors and doesn’t require employee training on problem gambling. Access to electronic gambling is widespread through convenience stores and other retail locations.
Top 10 most gambling-addicted states in 2025
- Nevada
- South Dakota
- Montana
- Pennsylvania
- Mississippi
- Louisiana
- Oklahoma
- West Virginia
- Oregon
- New Jersey
Why some states are more vulnerable
WalletHub’s methodology grouped data into two main categories: Gambling-Friendliness and Gambling Problem & Treatment. States like Nevada, South Dakota, and Oklahoma ranked high in gambling access, while others like Texas and Tennessee scored high in gambling addiction issues despite fewer casinos.
The report also highlighted the lack of problem-gambling resources in many states, with some failing to provide self-exclusion programs or adequate mental health services.
Financial toll of gambling addiction
Gambling addiction isn’t just a personal issue—it’s a costly one. Americans lose over $100 billion annually to gambling. Men with gambling disorders accumulate an average debt between $55,000 and $90,000, while women average $15,000. The downstream effects include job loss, family conflict, and in some cases, criminal activity.
Resources for those struggling
If you or someone you know may be dealing with a gambling disorder, national and local support networks are available. The National Council on Problem Gambling offers confidential help and self-exclusion tools. Many states also provide Gamblers Anonymous meetings and mental health services for recovery.
For more, visit ncpgambling.org or contact your state’s mental health department.
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