From extra time to sitting exams in smaller classrooms, more changes than ever are being made to exams to support students.
Figures released on Thursday by exams regulator Ofqual reveal 625,000 adjustments were made to GCSE, AS and A-level exams in England in the past year.
It has left many schools and colleges struggling to cope with the logistical hurdles required to make all the adjustments.
Some have had to hire external exam halls because their own buildings have reached capacity, while others are hiring more invigilators to monitor exams - all of which comes at an extra cost.