The absence of adequate accommodation for the hearing-impaired in the Education field is one of the problems in Indonesia nowadays. Teaching aids or learning support tools as accommodation can help the deaf to accelerate and improve the quality of their education. This research uses design thinking approach in designing the tool so that the result of the design is in accordance with the needs and desires of the users, which are deaf elementary students age 8-10. Started from the empathy phase until the define phase which obtained that the target users have a need and desire to learn the vocabulary with ease and fun then proceed with the ideation phase with stakeholders and prototyping to generate ideas and create the teaching aids in accordance with their needs and desires in the form of an arcade game with card of words and ended with the testing phase which shows that the tool is able to improve visual receptive language comprehension of 8.07% and visual expressive language of 77.74% in a fun way. This research has produced a teaching aids designed with design thinking approach which can improve the quality of their learning in school in accordance with the needs and desires of hearingimpaired elementary school students and has been validated by stakeholders.