A meta-ethnographic review of 42 qualitative studies on the assessment experiences of students with disabilities in higher education. 40 out of 42 studies reported experiences of exclusion, indicating that assessment is a major barrier to inclusion for students with disabilities. 22 studies reported that assessment accommodations provided access to examinations, while 5 studies found that assessment promoted the full participation of students with disabilities as accepted members of academia. The article proposes that the discourse around inclusion in assessment needs to shift from just considering accessibility to also considering how assessment regulates the full participation of diverse students.