Every single videogame ever made is a compromise based on someone or a team’s vision.
It is a compromise based around technology, the team or individual’s ability, tools, time, commercial needs (if it is to be sold), platform, expectations and money.
A pure realisation of a vision does not exist and yet wonderful videogames still get made, largely as a result of the need to compromise.
Accessibility is not a compromise, it’s an enabler. Please stop confusing the two.