Games are well known tools for mental health, engaging entertainment and notably have more reach and access usually than most functions of society. However for many communities access is fraught to games (as well as their community). Games designed with poorer ethics can put players more at risk and there is a substantial consideration needed in how our games affect the wellbeing of the players. As a disabled gamer and developer there is a lot to identify with the market but also a lot of pitfalls that affect players of all abilities and also of staff designing the games. How can we make this a better space that truly does benefit players and developers alike.