I haven't played Path of Exile since September 2014 when I hurt my wrist playing the game. I was really pushing to try to win a t-shirt and ended up putting too much strain on my wrist. This apparently combined with anxiety issues (presumably about becoming homeless) to make my hand go numb. But that issue got dealt with via drugs and I've been pretty capable of streaming games for 12+ hours a day without hurting my wrist. I definitely don't want to play super hardcore to win a t-shirt or anything, but I think I can play the game again without hurting myself.
There have been a lot of patches in the last 15 months, with a big one launching today. So many things have changed in the game, and they sound really, really good. Standard things like a new act, tons of new items, better balance... But also some other cool stuff...
An item filter so you can write a text file to alter what loot you see on the ground. You can change font sizes, colours, and add sound effects!
An experience per hour meter!
Revamped map system which keeps all the cool things with end game maps while extending and enhancing things to make them better for more casual play. Map pools are easier to build up at lower levels, and harder at very high levels, but the high maps are worth it.
A card collecting system to trade cards for loot at a vendor, so you can farm specific areas to get specific useful unique items.
Skill gems you can get from quests are sold from vendors so you don't need to create alts or store tons of gems in a guild bank anymore!
Even more customization in the sphere grid system, with new jewels you can stick in the grid!
Integration with Twitch so stream chat is a channel in the game client!
It remains to be seen how good this stuff actually is, but I have really high hopes. I don't intend on playing nearly as much as I used to, but maybe if they still have races and stuff I can get into streaming it... We'll see!