Unless you use Linux, your OS knows a ton about you. On top of that, with root access to your computer they can do whatever they want and if their system gets hacked you become a member of a bot farm or crypto mine.

It doesn’t, installing the game does. The terms of service just let you know that you are willfully infecting your computer with spyware.

Be warned, these games have turned into literal spyware. Installing them gives 2K/Gearbox root access to your computer and collects a ridiculous amount of info.

You literally posted the answer to your question. Here is an expansion of the details.