diff --git a/config/accessibility.yaml b/config/accessibility.yaml
new file mode 100644
index 0000000..7102a93
--- /dev/null
+++ b/config/accessibility.yaml
@@ -0,0 +1,7 @@
+font_scale: 1.0
+contrast_mode: default
+subtitles_enabled: true
+captions_enabled: false
+motion_reduction: false
+input_delay_buffer: 0.0
+ui_theme: default
diff --git a/engine/accessibility_manager.py b/engine/accessibility_manager.py
new file mode 100644
index 0000000..71adda8
--- /dev/null
+++ b/engine/accessibility_manager.py
@@ -0,0 +1,122 @@
+from __future__ import annotations
+
+from dataclasses import dataclass
+from typing import Any, Optional
+import typing
+import os
+import json
+
+try:  # pragma: no cover - allow tests without PyYAML
+    import yaml  # type: ignore
+except Exception:  # pragma: no cover - fallback when PyYAML missing
+    yaml = None
+
+try:  # pragma: no cover - allow running tests without pygame installed
+    import pygame  # type: ignore
+except Exception:  # pragma: no cover - allow running tests without pygame
+    pygame = None
+
+if typing.TYPE_CHECKING:  # pragma: no cover - only for type hints
+    from .ui_overlay import UIOverlay
+
+
+@dataclass
+class AccessibilityManager:
+    """Manage accessibility preferences and apply them across the UI."""
+
+    font_scale: float = 1.0
+    contrast_mode: str = "default"
+    subtitles_enabled: bool = True
+    captions_enabled: bool = False
+    motion_reduction: bool = False
+    input_delay_buffer: float = 0.0
+    ui_theme: str = "default"
+    save_file: str = "config/accessibility.yaml"
+    ui_overlay: Optional["UIOverlay"] = None
+
+    def __post_init__(self) -> None:
+        if os.path.exists(self.save_file):
+            self.load_settings(self.save_file)
+        else:
+            self.apply_ui_settings()
+
+    # ------------------------------------------------------------------
+    # Persistence helpers
+    # ------------------------------------------------------------------
+    def load_settings(self, path: str) -> None:
+        """Load accessibility options from ``path``."""
+        if not os.path.exists(path):
+            return
+        with open(path, "r", encoding="utf-8") as fh:
+            if path.endswith(".json"):
+                data = json.load(fh)
+            else:
+                if yaml:
+                    data = yaml.safe_load(fh) or {}
+                else:  # pragma: no cover - fallback when PyYAML missing
+                    data = json.load(fh)
+        for key, value in data.items():
+            if hasattr(self, key):
+                setattr(self, key, value)
+        self.apply_ui_settings()
+
+    def save_settings(self, path: Optional[str] = None) -> None:
+        """Persist current settings to ``path`` or ``save_file``."""
+        path = path or self.save_file
+        data = {
+            "font_scale": self.font_scale,
+            "contrast_mode": self.contrast_mode,
+            "subtitles_enabled": self.subtitles_enabled,
+            "captions_enabled": self.captions_enabled,
+            "motion_reduction": self.motion_reduction,
+            "input_delay_buffer": self.input_delay_buffer,
+            "ui_theme": self.ui_theme,
+        }
+        os.makedirs(os.path.dirname(path) or ".", exist_ok=True)
+        with open(path, "w", encoding="utf-8") as fh:
+            if path.endswith(".json"):
+                json.dump(data, fh, indent=2, ensure_ascii=False)
+            else:
+                if yaml:
+                    yaml.safe_dump(data, fh)
+                else:  # pragma: no cover - fallback when PyYAML missing
+                    json.dump(data, fh, indent=2, ensure_ascii=False)
+
+    # ------------------------------------------------------------------
+    # Application helpers
+    # ------------------------------------------------------------------
+    def apply_ui_settings(self) -> None:
+        """Apply visual settings to the active :class:`UIOverlay`."""
+        if not self.ui_overlay or not pygame:
+            return
+        base_size = self.ui_overlay.theme.get("font_size", 18)
+        scaled_size = int(base_size * self.font_scale)
+        if scaled_size != self.ui_overlay.theme.get("font_size"):
+            self.ui_overlay.theme["font_size"] = scaled_size
+            self.ui_overlay.font = pygame.font.Font(None, scaled_size)
+
+        if self.contrast_mode == "high_contrast":
+            self.ui_overlay.theme["font_color"] = (0, 0, 0)
+            self.ui_overlay.theme["box_bg_color"] = (255, 255, 255, 230)
+        elif self.contrast_mode == "night":
+            self.ui_overlay.theme["font_color"] = (200, 200, 200)
+            self.ui_overlay.theme["box_bg_color"] = (20, 20, 20, 230)
+        else:
+            from .ui_overlay import UIOverlay
+
+            self.ui_overlay.theme["font_color"] = UIOverlay.DEFAULT_THEME["font_color"]
+            self.ui_overlay.theme["box_bg_color"] = UIOverlay.DEFAULT_THEME["box_bg_color"]
+
+    # ------------------------------------------------------------------
+    # Options API
+    # ------------------------------------------------------------------
+    def set_option(self, key: str, value: Any) -> None:
+        """Set a single option and apply changes."""
+        if hasattr(self, key):
+            setattr(self, key, value)
+            if key != "save_file" and key != "ui_overlay":
+                self.apply_ui_settings()
+
+    def get_option(self, key: str) -> Any:
+        """Retrieve the value of ``key`` if available."""
+        return getattr(self, key, None)
diff --git a/ui/accessibility_menu.py b/ui/accessibility_menu.py
new file mode 100644
index 0000000..62731d1
--- /dev/null
+++ b/ui/accessibility_menu.py
@@ -0,0 +1,89 @@
+from __future__ import annotations
+
+from dataclasses import dataclass
+from typing import List, Optional
+
+try:  # pragma: no cover - allow running tests without pygame
+    import pygame  # type: ignore
+except Exception:  # pragma: no cover - allow running tests without pygame
+    pygame = None
+
+from engine.accessibility_manager import AccessibilityManager
+
+
+@dataclass
+class MenuEntry:
+    label: str
+    key: str
+    values: List
+    index: int = 0
+
+
+class AccessibilityMenu:
+    """Simple in-game menu to tweak :class:`AccessibilityManager` options."""
+
+    def __init__(self, manager: AccessibilityManager, font_path: Optional[str] = None) -> None:
+        self.manager = manager
+        self.visible = False
+        self.entries: List[MenuEntry] = [
+            MenuEntry("Text Size", "font_scale", [0.8, 1.0, 1.3, 1.6]),
+            MenuEntry("Contrast", "contrast_mode", ["default", "high_contrast", "night"]),
+            MenuEntry("Subtitles", "subtitles_enabled", [True, False]),
+            MenuEntry("Captions", "captions_enabled", [True, False]),
+            MenuEntry("Reduce Motion", "motion_reduction", [True, False]),
+            MenuEntry("Input Delay", "input_delay_buffer", [0.0, 0.1, 0.2, 0.5]),
+        ]
+        for entry in self.entries:
+            current = self.manager.get_option(entry.key)
+            if current in entry.values:
+                entry.index = entry.values.index(current)
+        self.selected = 0
+        if pygame:
+            self.font = pygame.font.Font(font_path, 24)
+        else:
+            self.font = None
+
+    # ------------------------------------------------------------------
+    # Navigation helpers
+    # ------------------------------------------------------------------
+    def navigate(self, direction: int) -> None:
+        self.selected = (self.selected + direction) % len(self.entries)
+
+    def adjust(self, delta: int) -> None:
+        entry = self.entries[self.selected]
+        entry.index = (entry.index + delta) % len(entry.values)
+        self.manager.set_option(entry.key, entry.values[entry.index])
+
+    # ------------------------------------------------------------------
+    # Input handling
+    # ------------------------------------------------------------------
+    def handle_input(self, event: "pygame.event.Event") -> None:  # pragma: no cover - UI only
+        if not pygame:
+            return
+        if event.type == pygame.KEYDOWN:
+            if event.key == pygame.K_UP:
+                self.navigate(-1)
+            elif event.key == pygame.K_DOWN:
+                self.navigate(1)
+            elif event.key == pygame.K_LEFT:
+                self.adjust(-1)
+            elif event.key == pygame.K_RIGHT:
+                self.adjust(1)
+            elif event.key in (pygame.K_ESCAPE, pygame.K_RETURN):
+                self.visible = False
+                self.manager.save_settings()
+
+    # ------------------------------------------------------------------
+    # Rendering (minimal placeholder)
+    # ------------------------------------------------------------------
+    def render(self, surface: "pygame.Surface") -> None:  # pragma: no cover - UI only
+        if not pygame or not self.font or not self.visible:
+            return
+        surface.fill((0, 0, 0))
+        for idx, entry in enumerate(self.entries):
+            prefix = "-> " if idx == self.selected else "   "
+            value = entry.values[entry.index]
+            label = f"{prefix}{entry.label}: {value}"
+            color = (255, 255, 0) if idx == self.selected else (255, 255, 255)
+            surf = self.font.render(label, True, color)
+            surface.blit(surf, (40, 40 + idx * 30))