The document discusses accessibility considerations for mobile game applications. It provides context on the author's experience and collaboration with organizations like IGDA. It then discusses types of limiting conditions like vision, motor, and cognitive impairments that accessibility aims to address. Numbers on disabilities in the US population are presented. The current state of accessibility in games is reviewed, noting gaps in areas like vision, hearing, motor and cognitive support. Design compromises that must be made are acknowledged. Control schemes for characters with motor impairments are proposed and their pros and cons discussed. The work is funded by the Department of Education to address health issues for those with spinal cord injuries.