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Here's a very rough idea with MS Paint.

Are the buttons easier than a normal control?
Don't quote me on this, but I think the access controllers use tact switches as opposed to plastic pads, so the feedback will be more "clicky" and it'll take considerably less pressure to get a button response.

That would be great. Hopefully, Ben or ...

Are the buttons easier than a normal control?

I'm a disabled man who was a huge gamer from NES days until PS2 days. I've recently found adaptive gaming sites & want to get back to my days of playing Madden & NCAA. Ben's Access Controller is amazing, but I'm not sure it is for me. My dexterity is quite limited; my arms barely move, my index ...