[kevingadd]

If you haven't had this discussion with him already (and you think you can comfortably have this chat), he may already have some ideas that he hasn't thought to mention.

Otherwise, one suggestion would be controllers for quadriplegics. There are a few options out there, afaik most are controlled with your mouth but there are also gaze-tracking options. I believe the XBox accessibility controller is compatible with some of them.

[Xylakant]

There's one linked right on the XBox adaptive controller page https://www.xbox.com/en-US/accessories/controllers/xbox-adap..., though boy, that's an expensive piece of hardware.

[NicoJuicy]

I could have that talk with him. But i don't want to start it with no options or no suggestions.

Him and his wife don't have it easy ( they used to go walking in the mountains a lot, so the declining mobility in recent months are ... Depressing for them, although they don't really complain. I just notice it in the conversations when it comes up)