ScarletRain (#29399) the ESRB did just recently make a special label for games with lootboxes, gacha, and other similar RNG mechanics. However they chose to use a very ambiguous phrasing for it, using the excuse that parents won't understand what lootboxes and such are, and so the ESRB rating is not actually that helpful because it isn't very descriptive or straightforward, especially when the videogame industry right now is in such a state that they have a heavy influence on the ESRB and regulation of what is, by definition, gambling. Right now because of the game industry, gambling features are at an all time high and companies will pay big money to avoid having any regulative legislation pass. It's unfortunately not as simple as smacking a vague label that says "In-Game Purchases (Includes Random Items)"