The Last of Us Part II Remastered ships with 30 accessibility features on PS5, and most players walk straight past the menu. That's a mistake, because a few of these settings are just as useful for comfort and control as they are for accessibility, and they matter even more in No Return, the remaster's roguelike survival mode. Everything below comes from PlayStation's own documentation: the game's PS5 store page and the PlayStation Blog's feature rundown from launch. None of it is from first-hand testing, so where the sources don't say exactly how a setting behaves, neither does this.
Before you start: this is for the PS5 version of Part II Remastered. Owners of the PS4 game can upgrade for a fee (it was $10 at launch, and PlayStation says prices now vary by country), import their saves, and keep trophy progress. The settings live in the game's Accessibility and Options menus, and you can change them at any time, so nothing here is a one-way door.
Settings worth switching on
High Contrast Visuals. PlayStation lists it under the visual options. It makes characters and items stand out from the environment, which helps anyone who struggles to spot enemies or loot in dark, cluttered areas. Expect a very different look to the game; if it's too stark, turn it back off.
Audio Cue Alternatives and Directional Audio Indicators. These put sound information on screen: where noises are coming from and what they are. If you play with the volume low, wear one earbud, or simply miss the clicker behind you, this is the fix.
Controller Remapping (Advanced) and the button-press options. You can remap every input, and PlayStation confirms the game is playable without rapid button presses, simultaneous presses, motion controls, touch controls or vibration. Hold-to-press-repeatedly prompts become a single hold. Expect less hand strain in long sessions.
Adjustable Difficulty (Advanced) and Game Speed (Advanced). Difficulty isn't one slider; the store page lists it as advanced, meaning you can tune parts of combat separately. Game Speed lets you slow things down. Both help if combat encounters are what stops you.
Speech to Vibrations and Cinematic Descriptions. These were the new additions for the remaster, brought over from Part I according to the PlayStation Blog. The first turns spoken dialogue into controller haptics; the second adds audio descriptions of cutscenes. They're designed for deaf and blind players respectively, and worth knowing about if someone you play with needs them.
Subtitles (Advanced), Clear Subtitles and Large Subtitles. Customisable size and background. Turn them on if you play with the TV across the room.
No Return
No Return is the reason to revisit this game. The PlayStation Blog describes it as a single-player roguelike survival mode with 10 playable characters, some never playable before, plus gameplay mods, custom runs and Daily Runs with leaderboards. Crucially, the blog says No Return "integrates" the game's accessibility features, so the settings above carry into it. It doesn't list exactly which ones, so if a particular option matters to you, check it in a No Return run before committing to a Daily.
Custom runs are the other useful lever: the blog confirms you can set them up rather than accepting a random run, which is the sensible way to learn the mode before tackling leaderboards.
Troubleshooting and limits
If the game suddenly looks or sounds wrong, revisit the Accessibility menu first; High Contrast and audio-cue overlays are easy to forget you turned on. Settings that change difficulty may matter for leaderboard runs, and the sources don't say how Daily Runs treat them, so keep a clean configuration for those if you care about rankings. And if you're on PC rather than PS5, PlayStation's PC page is a separate listing; this guide sticks to the PS5 documentation.
Reporting notes