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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.<\/jats:p>","DOI":"10.3390\/disabilities6010018","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T12:05:46Z","timestamp":1770897946000},"page":"18","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Neurodivergent-Focused Game Accessibility: A Systematic Literature Review"],"prefix":"10.3390","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1036-963X","authenticated-orcid":false,"given":"Carla","family":"Sousa","sequence":"first","affiliation":[{"name":"Centre for Research in Applied Communication, Culture, and New Technologies (CICANT), Lus\u00f3fona University, 1749-024 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2887-0860","authenticated-orcid":false,"given":"Pedro P.","family":"Neves","sequence":"additional","affiliation":[{"name":"Digital Human-Environment Interaction Lab (HEI-Lab), Lus\u00f3fona University, 1749-024 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6676-882X","authenticated-orcid":false,"given":"Pedro M.","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Digital Human-Environment Interaction Lab (HEI-Lab), Lus\u00f3fona University, 1749-024 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3169-7381","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Freire","sequence":"additional","affiliation":[{"name":"Digital Human-Environment Interaction Lab (HEI-Lab), Lus\u00f3fona University, 1749-024 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3728-3865","authenticated-orcid":false,"given":"Pedro","family":"Gouveia","sequence":"additional","affiliation":[{"name":"Digital Human-Environment Interaction Lab (HEI-Lab), Lus\u00f3fona University, 1749-024 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3264-2472","authenticated-orcid":false,"given":"Mariana","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"School of Psychology and Life Sciences (EPCV), Lus\u00f3fona University, 1749-024 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4612-5509","authenticated-orcid":false,"given":"Tiago","family":"dos Santos","sequence":"additional","affiliation":[{"name":"School of Psychology and Life Sciences (EPCV), Lus\u00f3fona University, 1749-024 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5606-5474","authenticated-orcid":false,"given":"C\u00e1tia","family":"Casimiro","sequence":"additional","affiliation":[{"name":"Centre for Research in Applied Communication, Culture, and New Technologies (CICANT), Lus\u00f3fona University, 1749-024 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3608-8417","authenticated-orcid":false,"given":"Filipe","family":"Luz","sequence":"additional","affiliation":[{"name":"Digital Human-Environment Interaction Lab (HEI-Lab), Lus\u00f3fona University, 1749-024 Lisbon, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Chapman, R. 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