Designing an arcade machine for players with limited dexterity requires thoughtful consideration to ensure inclusivity and accessibility. Here are the key factors to address:

1. Adaptive Controls: Replace traditional joysticks and buttons with larger, ergonomic alternatives. Touchscreens or motion-sensing inputs can also reduce physical strain.

2. Customizable Difficulty: Implement adjustable game speed, timing, and control sensitivity to accommodate varying skill levels.

3. Clear Visual and Audio Feedback: Use high-contrast visuals, subtitles, and distinct sound cues to assist players with cognitive or sensory challenges.

4. Stable Seating and Positioning: Ensure the machine is wheelchair-accessible and provides stable support for prolonged gameplay.

5. Intuitive Interface: Simplify menus and instructions to minimize confusion, with options for voice commands or assistive technologies.

By prioritizing these elements, arcade machines can become more inclusive, offering enjoyable gaming experiences for all players.