At least in a major video game producing format.
In 1983, the American video game market was over saturated with games that no one really tested or reviewed, this culminated with the infamous Atari 2600 ET game. This resulted in a video game market crash, which eventually opened up the American and European markets to Nintendo with the Nintendo Entertainment System (NES) and the Sega Master System, both released in 1985.
What if, for whatever reason, Nintendo and Sega either don't release console systems, or never exist. Before producing video games, Nintendo was making things like card games.
What effect would this have on the current video game market? In OTL Atari was pretty slow to adapt, even after the introduction of the Japanese systems. Would the market be pretty stagnant compared to OTL? Maybe the introduction of more popular European systems? At the very least, I think adventure/rpg games would be seriously hindered.