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I honestly don't need a ton of accessibility features now in video games, but I've been playing them for a very long time, my RSI issues are getting worse, my eyesight is getting worse, and they're starting to help. It breaks my heart that we exclude people that have disabilities
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I may never need all or even many of the features - but I need some already. For instance, I have to turn off vibration. But video games have long helped my mental health and I think that everyone, including possibly future me, should have a chance to play them.
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There is a particular game and company I am particularly annoyed with, who I won't name since the fans get super toxic about it. And to be fair, even if there were accessibility options, I probably wouldn't play. Not really a game for me. But there ARE disabled people who would.