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Okay, let’s get something clear immediately, there is a prevalent train of thought that if you have a physical disability, you are condemned to floundering in the wasteland of computer gaming.

Using “specially adapted” switches, being restricted to “custom designed” titles that are so severely “dumbed down” they would hardly challenge a 9 year old. The AAA titles that are all the buzz The 8 Best Rockstar Games Of All Time The 8 Best Rockstar Games Of All Time Rockstar Games is more than just Grand Theft Auto, and its back catalog of titles deserves a closer look. What follows is a list of the best titles Rockstar Games has released so far. Read More , stay on the shelf and remain the disabled gamer’s dream.

Well, I am happy to inform you that such a notion is rubbish! I am a high-level quadriplegic, and I have been successfully gaming for the last 30 years and so can you! Let me reveal to you one of the most prominent tools in my bag of tips and tricks: voice control.

Having always used a Mac, my initial knowledge was for the comparatively small number of Mac titles available. When the Mac adopted the Intel chip, and running Windows natively became a reality, the gaming world became huge. And correspondingly my bag of tricks got much bigger.

Mousing Around


Fortunately, mouse alternatives are plentiful, including Smartnav or Headmouse Extreme. Various devices have different features, but fundamentally they all allow you to use a mouse successfully and click, the essential and standard way for successful interaction with the computer.


So, you can move the mouse, click the mouse, cool, but, “Oh no, my hands don’t work, how do I press keys”? Many disabled gamers use an onscreen keyboard like KeyStrokes, or one of the many similar offerings available, for providing the necessary key input that various games require in order to be played.

This approach can work well for slower, turn based games, such as Civilization or RPGs like Dungeon Seige. But what if you want the reflex testing action of a First Person Shooter, or the soaring delights of a flight simulator, or the adrenaline rush of controlling a high performance racing car in a driving game? It is time to approach gaming in a different way.

Voice Control


The first program of this type I used was a Mac tool called Voice Commander. This has now been discontinued, but there are a veritable horde of excellent Windows alternatives:

Quite simply, these programs allow you to map key press to voice command. Some advantages of this type of approach:

  • Substantially faster game play, no looking for the correct key to reload, just say the word itself.
  • A huge increase in the amount of games that YOU can play successfully.
  • A more fully immersive and authentic gaming experience.
  • No need for changes to be to the made to various game parameters, like playing in windowed mode to accommodate on-screen keyboards.

Some disadvantages of this type of approach:

  • The unfortunate exclusion of disabled gamers who have speech impediments.
  • The need for a more noise free environment.
  • Your Significant Other has to be quiet when entering the computer room. (Buy some chocolates, might work.)

For Mac users reading this, despair not! The vast majority of you will have an Intel Mac, so simply set up a Boot Camp partition Running Windows Programs on Your Mac using WineBottler Running Windows Programs on Your Mac using WineBottler Read More and embrace the huge selection of games and gaming tools the Windows world has to offer.

For the small number that are still using a venerable PPC Mac, if you really, really, want to game big-time, then it’s time to upgrade; I guarantee you will never regret it. And if you already have a Windows machine, what are you waiting for?

The Right “Weapon of Voice”

There are two main things to be aware of when choosing your voice command software; custom profiles or templates.

The majority of the latest programs come with preset templates for many popular existing games. Thus you simply choose the appropriate template for the game you want to play and go. Some programs (noticeably older ones) require that you manually set up the voice commands for keys you want pressed.

Obviously, this can be more time-consuming, but can be useful if you are creating a special command that requires a number of keys pressed simultaneously, such as a combo fight movement, or if you need a key pressed for a length of time. Fortunately, many programs do allow the ability to customize existing templates or add your own. Or they have forums where enterprising users contribute templates they have made, and your game may be here.

Some, programs however, do not, so this can be an important consideration when choosing your voice command software. This feature is also an important aspect if the program you are looking at does not have a preset for the particular game you want to play. Ultimately, it depends on your needs, if your game “stable” only has a small number of favorites, then just one well featured program could be all you need. If you game extensively (or want to), then you may find that having 2 or 3 programs allows the flexibility to cover all your needs.

The Basics of Setting Up A Custom Profile / Template

The guidelines that I will give in this example are from my first beginnings with the already mentioned “Voice Commander” program. Although no longer supported, I still use this occasionally today (never throw away software that works well, if you can still run it! Newer is not always necessarily better.) The instructions should apply to setting up a custom profile or template for voice control in any game.

And of course, the following is my own personal approach. Whatever you use, experiment! The crucial requirement of any game is that it is configurable. Find out what are the particular game controls. With most games, this information will be found in the game manual (note: quite often not all controls are shown, it is often necessary to go into the game itself to see the full list).

Below, is an example of key controls from the HALO game manual.

1 Halo_Game_Controls-2
I make a list of the game actions and their corresponding keystrokes.
2 Keystroke_list
Next, I enter the information from the list into Voice Commander (Tip: copy and paste, especially if you have a long list).

3 Voice Commander
With almost every game, it is now necessary to customize the all-important movement controls. The default keyboard controls for forward, backward, left and right are W, S, A, D (or sometimes the arrow keys). It is at this point that the speed and smooth movement of the mouse proves itself to be perfect in providing fluid character/vehicle movement. Simply go into the game settings and re-map the move forward key (normally W) to the mouse button.
4 Mouse_to_Forward
Once this is done your character/vehicle will move by blowing into the puff-switch (or however your mouse lets you click), and will go in any direction that you turn your head.
The other major customizations that will be needed are actions normally performed by clicking the mouse button(s). The most common of these is “fire weapon”. This must be changed to a key which then joins the list of Voice Commands.

There are many adjustments and tweaks that can be made in Voice Commander, such as changing the word that you speak. Every person speaks differently, and it will be through trial and error that you find which words work best for you.

Also important is the use of the repeat function.
5 repeat_function
This can be extremely useful for determining how long an action lasts. For example, whether to have one shot for perhaps a sniper rifle.

6 one_shot
Or a more sustained burst for a machine gun.
6 sustained_burst
Variations on the above, will be as many and varied as the needs and preferences of YOU the gamer. You may wish to use your mouse click as your trigger and use your voice for movement. Thus you may use repeat and sustain functions to have character/vehicle move constantly until you issue a command to stop.

Although the general configurations of most games are normally quite similar, there are always differences between individual games and especially between different genres. Once again, explore the possibilities.

Last Thoughts

To conclude, I have been using this technology for some years now and have had outstanding success. There have been very few games that I have not been able to play. I have not been limited to any one genre, whether it be a keyboard intensive first person shooter Important First Person Shooters That Evolved The Genre [MUO Gaming] Important First Person Shooters That Evolved The Genre [MUO Gaming] First and third person shooters are the most popular genre in the video game world right now. Call of Duty and Halo have the charts on lock down, and games like Battlefield and Crysis are... Read More , a point and click role-playing type game, a simulation of flight or driving, or just a casual type game.

Voice control, in conjunction with mouse control, has made the world of gaming very accessible to me. I always look forward to being able to share the knowledge that I have gained with others, and hope that it may open up the exciting and fun experience that computer gaming has to offer everybody. Game On!

Image Credits: Man on wheelchair Via Shutterstock

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  1. Dereck
    January 7, 2017 at 12:05 am

    I am paralyzed from the shoulders down, have been for 10 years now, and would love to be able to play games. I am not tech savvy at all! A lot of this all sounds like a dream come true except I have no clue how I would do it and how I could afford it. It's like my hopes get bigger and bigger and bigger and then it pops!

  2. dustin
    September 13, 2016 at 11:27 pm

    This is amazing. It makes me feel happy to know that disabled gamers can play games with these tools. Technology has never failed. Game on, Gamers!


  3. anon
    March 25, 2014 at 12:36 am

    very informative, amazing the way technology can help remove barriers.

  4. Mark F
    February 21, 2014 at 2:51 am

    This may be an option as well for those looking into console gaming.

  5. Amy
    February 21, 2014 at 12:23 am

    I downloaded Crossover for my Imac, which I find better than Parrallels. I haven't tried Bootcamp. Unfortunately, I haven't gamed in over a year due to my disabilities. They affect everything. Maybe one day.

    • David O
      February 21, 2014 at 10:50 pm

      Hi Amy!

      l have not tried Crossover, l find Parallels handles all but the really demanding titles very well, and for those Bootcamp has no problems.
      Sorry to hear that you are prevented by your condition, l can certainly empathise.
      All the best.


  6. Joyce
    February 20, 2014 at 7:47 pm

    What an excellent and helpful article! Game on, and use some of your obvious ingenuity to help those of us who are able-bodied, if you will, but still ignorant when it comes to gaming! Peace and gaming love love!

    • David O
      February 21, 2014 at 10:43 pm

      Hey Joyce!

      thank you for such positive feedback.


  7. Kit Kennard
    February 20, 2014 at 6:15 pm

    Apple has a Accessibility Division - every contact I have made is a brick wall for information about hardware an software that helps quadriplegics function in a digital world!!! How come????
    I have posed this several times with NO ANSWER - how can a quad monitor, answer, communicate, dial-out or hang up using an Apple product (hopefully) COMPLETELY BY VOICE ONLY without any mechanical/physical contact with the phone device - NOTHING !!! I hope someone from Apple or other resources can monitor this for a solution !!! Gaming is one thing and some functionality may be transferable. If a brand claims accessibility features and can't deliver the most basic needs - it does not reflect well on the brand !!! These same features are required by a surgeon in an operating room, a nuclear engineer working in confined spaces, a chef in a busy kitchen and, I am sure, others as well.

    • Peter E
      February 20, 2014 at 7:06 pm

      Has he tried a Samsung Galaxy S4? I'm fairly sure I can do all those features with mine.

  8. Jon Smith
    February 20, 2014 at 3:27 pm

    my friend doesn't have an arm...he is quite skilled with his feet.

    • David O
      February 21, 2014 at 10:40 pm

      Hi Jon!

      Your friend sounds like many amazing people l have come across, It is truly astounding how the body compensates for the loss of a limb or sense by enhancing another .


  9. Peter E
    February 19, 2014 at 7:11 pm

    Here are two of the charities I mentioned in my previous comment:

  10. Peter E
    February 19, 2014 at 6:52 pm

    What a great resource, I'm sure this post will help so many people!

    I remember a few years back, reading about a Gaming Access Charity for those with physical disabilities who specialised in building custom HIDs to suit your particular disability.

    Gaming for ALL of us opens up a world without restrictions, a means of escape, and it pleases me immensely to know that this world is available for all of us, able-bodied or otherwise.

    Thanks Mr O'Connor!

    • David O
      February 20, 2014 at 12:26 am

      Hi Peter E,

      Thank you for your thoughts.
      Your comment reminded me of the amazing custom gadgets that are being made to suit individual needs. If my article lessens the importance of special switches in any way, that is certainly not my intention.
      And, indeed, the delights of Gaming, are to be enjoyed by anyone!


  11. Anonymous
    February 19, 2014 at 6:33 pm

    Hey David,
    Great post! Any favorite games these days?

    The last time I tried voice command tool was back in 2006 and I think it was called Dragon Naturally Speaking. Any experience with it?

    • David O
      February 20, 2014 at 12:13 am

      Hi Anonymous,

      thanks for your feedback!, Favorite games? That is a tough one, there are so many great games coming out. I enjoy a solid storyline and "Dishonored" comes to mind.
      I have experimented briefly with Dragon Naturally Speaking and it is definitely good for Voice Control. For me, l found it's strength is more on the dictation side where it truly shines.

      What are others playing? Any Voice Control gamers?