Designing an arcade machine for players with hearing impairments requires thoughtful consideration to ensure an inclusive and enjoyable gaming experience. Here are the key factors to address:

1. Visual Feedback: Replace or supplement audio cues with visual indicators, such as flashing lights, on-screen text, or vibration alerts, to convey important game information.

2. Subtitles and Captions: Include customizable subtitles for dialogue and sound effects, ensuring they are clear, large, and easy to read.

3. Tactile Feedback: Incorporate haptic feedback or vibration mechanisms to provide physical cues for actions like hits, wins, or losses.

4. Intuitive Controls: Simplify button layouts and use universally recognizable symbols to minimize confusion and enhance accessibility.

5. Adjustable Settings: Allow players to adjust volume, visual effects, and difficulty levels to suit their preferences and needs.

By prioritizing these elements, designers can create arcade machines that are accessible and engaging for all players, regardless of hearing ability.