Just a minor correction as I live in the area as well, Spring is the closest direct suburb of Houston which is anything but small town. Not excusing it of associated problems of being a relatively affluent/gentrified area in Texas, of course.
Reading through this thread, this guy is nuts though. That's a special brand of crazy.
This version of Tetris likely has my most amount of hours on it as well, I played so much of it on my DS back in the day. Absolutely fantastic.
My runner up in terms of hours is probably Puyo Tetris.