What change does the accessibility option make to the toilet minigames?

Solution 1:

I assume that you're referring to the update that came in july this year.

According to the changelog, the updates making "adjustments to mini-games to single button format (Fartkour, Gayfish, Lapdance, and more)".

I play the game on Nintendo Switch and the difference for me when testing with the accessibility options is that I get an extra button on the lower right side of the screen, giving me the possibility to hold the R-button to "auto-complete" the step in the game.

Toilet minigame