I have ADHD and have a really hard time focusing in Zoom meetings at work unless I have something to do. I keep a fidget spinner by my desk and use it constantly during calls. My brother uses a Rubik's cube for the same reason.

This game is basically a digital fidget—it doesn't actually prevent you from being there in the meeting, but it does provide the little bit of background simulation that some people legitimately need in order to stay sane working a desk job.