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Some of Chinas citizens work as gold farmers in WOW and they need multiple accounts because of the government which has limited the max play time to 4 hours a day. And because Blizzard controls them. And I know that item shops in Diablo 2 also get the items from china.

And I think this is happening for most online games where items or gold has actual value and people pay for this.

And china has 10 times more citizens then japan and since China is just 2 Trillion away from japans economy size it is not too unbelievable.