Gambling is now available 24/7 to anyone with internet access. The negative effects from gambling are far reaching and go beyond individuals experiencing gambling disorder, impacting families, friends, and society more widely. The digital transformation of the global gambling industry extends its reach to areas with little previous experience of commercial gambling, making it widely accessible even where it is not legally permitted. The Commission makes seven recommendations for achieving lasting and impactful change to control the gambling industry and prioritise public health over economic