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This year's Access-Ability showcase featured exciting innovations like a blindness-friendly city builder

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Things have progressed a long way from basic difficulty setting conversations.
the second-annual Access-Ability Summer Showcase, an event by and for gamers with disabilities, highlighted just how far the gaming accessibility discussion has come in what feels like a pretty short time. As I remember it, serious public conversations around accessibility only really started after Dark Souls came into vogue—coincidentally, one of the first times I played a game and realized there was something very very wrong with my hand. 
In the same ilk as Dark Souls is the far less grim dark Slime Heroes, a bouncy, top-down action platformer which appeared at the Access-Ability Summer Showcase and centers around collecting and combining elemental gems. The accessibility options on offer here come in the form of visible hitboxes, scaling damage, and increased stamina, all of which are unique ways of mitigating the multi-pronged difficulty endemic to Souls-like genre.

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