There are multiple matches for hacker Tetris game descriptions, including a Tetris game played on the MIT Green Building and a version of Tetris that uses a sinusoid instead of blocks:
Tetris on the Green Building
In 2012, MIT hackers used the LED arrays on the Green Building to play a giant Tetris game. The game was displayed on the side of the building, which is a natural grid for the game. The game started with the words "TETRIS" scrolling across the building, then progressed through levels with different colors and difficulty. When the game was lost, all the blocks would fall to the bottom of the building.
Tetris with a sinusoid
In this version of Tetris, the player controls a sinusoid instead of blocks. The sinusoid stretches across the screen, and the player controls its phase angle, amplitude, and angular frequency. The goal is to overlap the sinusoid with a randomly generated wave to play indefinitely.
Hackers have also been able to reprogram the NES version of Tetris from within the game. Some of the things hackers have been able to do include:
Lowering the score processing time to prevent a crash
Recoding the game to patch out crash bugs
Building a bootstrapper to gain full control over all of RAM