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I feel like I should leave the gaming industry
(self.games)
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I wonder if mid sized companies isn't the way to go.
I'd say keep an open mind when it comes to industry and environment. I got my start in game dev but quickly left it after I realized it wasn't really for me. I bounced around for a while after that, even picking up a job teaching English abroad (probably not advisable in your situation) before returning back to the US and taking a job working for a nonprofit.
A lot of industries like healthcare, finance, education, and enterprises in general have need of developers with experience and they still pay decently well. It may not be as exciting as FAANG/Silicon Valley style dev work, but you're likelier to find stability and a more manageable work/life balance. It helped me finally learn to work to live instead of live to work, and I can also still take some pride that the work I do is used to help people.