Ensure Buckshot Roulette is closed and that steam shows all the files are successfully validated in properties> installed files> varify integrity of game files.,
Run Buckshot Access patcher.exe.,
Press the up arrow once and ensure the correct install path of buckshot is displayed. It is most commonly c:\program files (x86)\steam\steamapps\common\buckshotRoulette_windows. If that is not shown, you can brows to the correct folder by choosing brows.,
Simply press patch and wait for it to pop up a dialog saying that it's finished.,
exit the patcher.,
If you want to uninstall the mod, choose unmodify in the patcher, and the original game without accessibility will be restored.,
After closing the patcher, run Buckshot Roulette. You should here "accessibility enabled"