The integration of arcade machines into rehabilitation centers represents an innovative approach to patient recovery, merging entertainment with therapeutic benefits. Successful design must prioritize accessibility through adjustable height controls, wheelchair-accessible interfaces, and customizable input devices accommodating limited mobility. Therapeutic game mechanics should target specific recovery goals—improving fine motor skills through precision tasks, enhancing cognitive function with memory challenges, and building strength via resistance-based controllers. Durability demands medical-grade materials resistant to frequent sanitation, while software must offer progressive difficulty settings and performance tracking for clinicians. Crucially, these systems should balance engagement with measurable outcomes, transforming repetitive exercises into motivating experiences that promote consistent patient participation. Safety remains paramount, requiring rounded edges, stable bases, and emergency stop features. By addressing both clinical objectives and user experience, well-designed rehabilitation arcades can significantly improve treatment adherence and functional outcomes across diverse patient populations.