old thread, but on the off chance that someone else comes through looking for similar answers, a. adaptive controller that's alr been reccomended, if that suits you b. turning off motion blur, film grain, chromatic aberration, etc helps some if you have issues w/ spatial awareness/tracking things on screen. spent a good hour or so experimenting w settings after my tbi and that + adjusting captions seemed to help best. c. it may be more trouble than it's worth, but there is the option to disable the gui, might make it easier to follow the cutscenes where you're just kinda standing around for some people. d. audio settings, doesn't seem as relevant to op but again on the off chance it's relevant to someone, there's separate sliders for different parts of audio and disabling music/turning up dialogue/etc may make things easier to keep track of. personally, I play w/ music entirely off, SFX down, dialogue fully up, because of auditory processing problems. would definitely recommend the same to anyone w/ similar. e. as was said here finding a group that's a good support is pretty crucial if you're not planning to/can't solo. I usually stick to people ik because yeah, that can unfortunately be hard to find here, but there's definitely ppl out there and I wouldn't be suprised if there's some disability specific clans/discord servers/etc, though I haven't looked myself. c. disabling controller vibration if you have issues w/ coordination/fine motor skills. (alternatively keeping it on for the extra indicator that things are happening lol) don't listen to the ppl that discredit it as "well, guess you just don't game then!" bc generally that's bull. yeah, it can be harder for us and some ppl legitimately can't, but there's no reason to bash someone for trying & a lot of the time there ARE solutions that don't take away from anyone else's experience of it. and gl y'all