Background: Cerebral palsy (CP) is the most common (3:1000) childhood movement disorder. Gaming can help integrate individuals with disabilities into a community, but those with CP struggle with gaming due to limited hand function and fine motor coordination. Objectives: To develop an affordable and personalizable adaptive gaming controller add-on for individuals with CP to play online games and connect with peers. Results: A 16-year-old tester with CP achieved third place in a Forza race for the first time with the help of the 3D printed adaptive gaming controller accessory. https://youtu.be/Va8VqJWzSCo Conclusion: The created affordable and customizable 3D printed adaptive gaming controller add-on allows children with CP to actively participate in gaming.