Tyler Rawlins was so immersed in the game that he spent all four days in his room, taking breaks only to eat and shower. (Is anyone else surprised that he showered?)
At his aunt's house, Tyler collapsed mid-conversation. His aunt Jennifer Thompson says—
It's like he was looking at me but he wasn't there. It was like he was looking through me. We were talking and I heard a thump and I looked over and he just fell.
According to his mom, his lips also turned blue, a telltale sign of things going very wrong internally. In this case, forgetting to drink water for a few days.
His mom did take away his Xbox privileges, although you have to wonder why she didn't step in sooner — like at any point during the four days her 15-year-old was hiding from the world. Sometimes you have to feed and water your teenager.