I can play like this for an hour or so 1. Get a multi elevation desk (Like [this one][1] around $35 from Amazon) it allows you to lower and tilt the TV UP toward you reducing neck strain 2. adding cheap armrest bars/aerobars ([like these][2] around $20 from Amazon) allows you to rest your elbows comfortably while riding the bike, keeping your weight forward. 3. Adding a heart rate monitor that beeps when you slow down is a good way to remind yourself to speed up.    **Tips** Sweat will be a pain with the controller so keep a towel handy. My Trainer is rather loud, so I use (in the ear) - ear buds. I originally used a cloth - full headset, but the sweat made them stank up. Doing both tends to create a seesaw effect - Games that require alot of concentration will naturally make you slow down. Going faster (higher heart rate) tends to increase the games difficulty. As mentioned by @AndyP below, this will likely decrease performance (at least initially) in both gaming and cycling while doing both, so I wouldn't recommend using this as a method to increase performance in cycling or gaming. With that said - it is a decent way to burn excess calories and build muscles while performing an otherwise stagnant activity. [1]: https://www.amazon.com/dp/B00LLIPN34/ref=cm_sw_r_cp_apa_i_wXToEb24CTKPP [2]: https://www.amazon.com/dp/B07FL829B7/ref=cm_sw_r_cp_apa_i_FZToEb6E7KG69