Abstract
Exergames have emerged as promising tools for enhancing physical and cognitive engagement among various populations. However, standard commercial exergames often follow a "one-size-fits-all" approach, which may not be effective in addressing the unique needs of clinical populations such as individuals with dementia and late-life depression (LLD). This paper explores the challenges and insights gained from tailoring exergames specifically for these groups. By detailing the design and development process, we highlight key lessons learned, including the importance of customizing game mechanics, user interfaces, and feedback systems to align with the cognitive and physical capabilities of these individuals. This paper further proposes design considerations and best practices for future research, aiming to maximize therapeutic outcomes, user engagement, and overall feasibility of exergame interventions.