Neurodivergent-Focused Game Accessibility: A Systematic Literature Review

Accessible digital games represent an emerging frontier for inclusion, offering both challenges and opportunities to advance the cultural participation of neurodivergent people. This study presents a systematic literature review of empirical research on game accessibility for neurodivergent players, including autistic individuals and persons with intellectual disabilities. Forty-eight studies published between 2014 and 2025 were analysed to examine how accessibility is defined, implemented, and evaluated in game design. The results reveal that accessibility is often framed as a functional or therapeutic adjustment rather than as a social or cultural right. Although growing attention has been paid to sensory and cognitive barriers, few studies adopt neurodiversity-affirming or participatory frameworks. Most remain confined to educational or rehabilitation contexts, with limited involvement of neurodivergent co-designers. The findings call for a redefinition of accessibility as a creative, ethical, and political principle central to inclusive digital culture and the neurodiversity movement.