Addictions can change the way people respond to cues that are related to their addiction. For example, someone with gambling disorder (GD) may experience gambling craving when they see a slot machine. The slot machine is a cue to their addiction and could elicit a specific neural response. This study tested whether people with GD have different neural responses during a gambling task compared to people without GD. Participants completed a gambling decision-making task while viewing either gambling-related, positive, negative, or neutral images. Participants with GD were more likely to gamble when the images were gambling-related, positive, and negative cues. During the task, the neural responses of people with GD were different than those of people without GD. Thus, GD is linked to distinct neural responses during gambling decision-making.