The document discusses various ways that gaming is consumed beyond just playing games, including:
1) Merchandise like clothing, collectibles, and unusual branded items from publishers like Rockstar Games.
2) Cosplay where fans recreate character costumes.
3) E-sports which are competitive video game tournaments with cash prizes.
4) Machinima that uses game engines to create animated films.
5) Modding where fans create new content, levels, or total conversions of games. The Hot Coffee mod for GTA: San Andreas is a notable example that impacted the game's rating.