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The Build a Better Book project, based at the University of Colorado Boulder, works with school and library Makerspaces to engage youth in the design and fabrication of accessible picture books and graphics. Using both low- and high-tech Makerspace tools, such as 3D printers, laser cutters, Makey Makeys, conductive boards and craft materials, youth design, fabricate, test and refine multi-modal books, games and STEM graphics that incorporate tactile and audio features. These products are designed by and for learners with visual impairments as well as other physical and learning disabilities. Through the Build a Better Book initiative, middle and high school youth develop technology skills and learn about STEM careers as they design and create accessible, multi-modal picture books, graphics and games that can be seen, touched and heard!