There was a game recently on a huge discount that had some great accessibility options. You could change how hard combat was, exploration, and resource scarcity. At least it would have been great if they did anything meaningful. Instead the base game was ridiculously hard, to the point that combat was nearly impossible, and even the easiest options only made it slightly possible. I guess the point was to force you into a certain stealth/no combat play style, but it was just done in a very unfun way. One of the few times I've actually refunded a game.