Designing arcade machines for hospital environments requires specialized considerations that differ significantly from commercial gaming setups. The primary concern involves infection control, requiring non-porous materials and antimicrobial surfaces that can withstand rigorous cleaning protocols. Accessibility becomes paramount, with designs accommodating patients of varying mobility levels, including wheelchair users and those with limited dexterity. Medical equipment integration must be considered, ensuring machines don't interfere with vital medical devices while providing appropriate entertainment value. Content selection should prioritize stress-reducing, non-violent games that offer therapeutic benefits and accommodate varying attention spans. Durability requirements exceed commercial standards, with machines needing to withstand constant use while maintaining quiet operation to respect patient rest periods. Electrical safety standards must meet hospital-grade specifications, with proper grounding and emergency power considerations. The psychological impact of gaming in medical settings should be carefully evaluated, focusing on distraction therapy and positive emotional engagement. Practical implementation requires consultation with healthcare professionals, including child life specialists for pediatric units and rehabilitation experts for physical therapy applications. Successful hospital arcade designs ultimately balance entertainment value with clinical appropriateness, creating welcoming spaces that contribute positively to the healing environment while respecting the unique operational requirements of medical facilities.