Designing arcade machines for adaptive controllers presents several unique challenges to ensure accessibility and inclusivity in gaming. One major challenge is hardware compatibility, as adaptive controllers vary widely in design and functionality, requiring versatile input systems. Another issue is space constraints; arcade cabinets must accommodate both standard and adaptive controllers without compromising usability. Additionally, software integration is critical, as games must recognize and respond to diverse input methods seamlessly. Cost is also a barrier, as retrofitting existing machines or developing new ones can be expensive. Finally, raising awareness and training staff to assist players with disabilities is essential for creating an inclusive gaming environment. Addressing these challenges is vital for making arcade gaming accessible to all.