Aside from XIV, my other "background game", aka game-I-can-always-turn-to-if-I'm-bored, is Destiny 2. Helps that it provides a much more... kinetic experience compared to XIV, being a different genre and all.
As for other games, well, it's been tough. Recently went through Pokemon Violet and enjoyed it a bit. I only briefly played Legends Arceus, and Violet kinda kindled that long-lost interest in Pokemon. I might pick Arceus back up or pick up the new Snap game if I'm feeling like something a bit more nostalgic.
All in all, it has been a real challenge to actually complete games while in residency. I have a predilection for JRPGs and those can be kind of long. Depending on the rotation that I'm on, I may or may not be able to play them semi-consistently. Presently, I'm on Psychiatry rotation, and have a lot more time to play video games. That said, my responsibilities in clinic have doubled since we're now squarely on second half of intern year. My issue is that if I am, busy, I go on long stretches of time between play sessions and it really just sucks going back to an RPG and feeling rather lost about the world, its characters, the plot, etc... If I'm only a few hours in, I may even consider restarting it, but if I'm say, 20+ hours into it, yeahhh no chance. Would likely have to read a bit of a summary to catch back up. The last one I played, and still haven't finished, was Tales of Arise. Now, fortunately those games have a "diary" function that can help catch you up on what you were doing but mannnn, it still sucks lol...
This is to say nothing of XIV and Destiny 2. Regarding the former, I've also noticed a tendency to forget a bit of certain plot points in the time between patches. Some of this is no doubt due to my ADHD, but I feel like the game, for obvious reasons, just doesn't occupy the same headspace that it used to. Back when I was in college, I feel like I could remember details of the game easily because I'd let them marinate in my mind. Nowadays it's more of a "get through this. OK GREAT. NEXT THING." sort of mentality by necessity. With regards to Destiny 2....... well, I very much enjoy the lore of that game, as I did since I started playing vanilla D1 back in 2014. Problem is, as you may have surmised, that it's actually kinda hard to keep up with lore of two on-going games and work an average of 80-hour weeks... lol.
Well, can't say I don't try hahah



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I've been on my own with Elden Ring though because I have it on my PS5 instead of PC. You can summon random people to help if all else fails. Just had to do that with a boss myself who is arguably the hardest boss in the game. Took me a bit, but I got it. I think it helps that if people have gotten past a certain point, then they've been conditioned pretty well. lol



