The quake port by the same studio had a bunch of accesibility features that aren't in doom 64. an option for an easier to read menu text would be a good start but the biggest issue is epilepsy. This game has flashing lights like CRAZY sometimes. One of the powerups makes your screen flicker super fast and It's annoying as hell. I'm not even epileptic and I'd like the option to disable it. Great game though it would be 5 stars if they had an option to keep the power up from flickering your screen so intensely