The thing I've been more concerned about in this regard is artistic vision. If part of your vision is for your game to be excruciatingly difficult with no way to make it beatable for people without the necessary motor/cognitive ability, is that ableist? I'd like to argue FOR artistic freedom, and clearly making a game that can only be completed by very few people has its own appeal. But then I'm reminded of the hundreds of thousands of people who'll never be able to finish a Souls game because they suffer from a physical disability (even with basic accessibility options like customizable controls, etc.) I personally always thought that the Souls games handled this sort of thing in a really clever way design-wise (multiplayer, magic builds, etc.) and I doubt a full-on Easy mode would take away from MY OWN enjoyment at all (even though it's IMO an inelegant solution). But again, I've always considered the lack of such a feature to be part of the vision and I'm becoming increasingly unsure if defending that vision is ethically okay. I would genuinely appreciate feedback from disabled people on this specific subject.