Scope, the UK-based disability equality charity, has suggested that "66% of gamers with an impairment or condition say they face barriers or issues related to gaming" and that affordability, knowledge and required to set up assistive or adapted tech, as well as availability were the principal causes. It makes it easy to plug in a set-up that has only really been possible on PC previously. The important note here is not just that it opens up gaming to more players, but that the controller does so for the many different types of players with different disabilities that require different adjustments. Any extension needed can be plugged in and modified to adjust for the needs of the user. QuadStick mouth controllers for quadriplegic players? Check. One-handed joysticks to adjust for those who cannot grip a controller? Check. Bigger buttons easily synced to specific face buttons? Check. This means you can plug in any extension required to adjust the game to your needs.
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The key feature that the Xbox Adaptive Controller offers is full button remapping, with 19 3.5mm sockets spread around the rear of the controller synced to face buttons, two 2.0 USB ports for additional accessories, and another audio-out 3.5mm socket.