Video games have always been perceived as a medium for the young, but the average age of gamer is 36, games developers are dying of old age, gamers are already living with dementia and 96 year olds are winning Wii bowling e-sports tournaments! Why as an industry are we manufacturing 400 hour games experiences for younger audiences with an abundance of play when so many older people lack quality access to even a 400 second games experience? What would a game controller designed by a Centenarian look like? I discuss my career as an experimental games designer, educator and maker focused on bringing play to audiences marginalised by the games industry, such as young people with disabilities, communities in deprived areas and most recently, people aged over 65. Collaborating with Sheffield University, we explored designing approachable game installations for people living with dementia, encouraging them to build their own games controllers out of craft materials and the delight of giving pensioners their first experience of video games, tailored to local interests and rejecting industry norms. I will try to make the case why the elderly deserve to be catered for, where industry has succeeded previously, where we've failed, what our future holds and what we can do to ensure age doesn't limit access to play. We have to engage older audiences, designing radical new ways of play and interaction, and I believe that the ALT-CTRL (alternative controller) community is well placed to be a force for good in this field.