Tetris is NP-hard even with $O(1)$ rows or columns

We prove that the classic falling-block video game Tetris (both survival and board clearing) remains NP-complete even when restricted to 8 columns, or to 4 rows, settling open problems posed over 15 years ago [BDH+04]. Our reduction is from 3-Partition, similar to the previous reduction for unrestricted board sizes, but with a better packing of buckets. On the positive side, we prove that 2-column Tetris (and 1-row Tetris) is polynomial. We also prove that the generalization of Tetris to larger $k$-omino pieces is NP-complete even when the board starts empty, even when restricted to 3 columns or 2 rows or constant-size pieces. Finally, we present an animated Tetris font.