We have to sit less and take more steps. This message is important for us all, and especially for patients with chronic diseases. As solutions to motivate us and to boost our physical activity make use of gamification, and by doing so focus on the fit and healthy, we are wondering how we could do the same for people who see their abilities decrease (e.g. patients with chronic diseases). We worked on a solution for transplant patients that highlights the cumulative effect of daily activity. During the design and evaluation of this solution, we were confronted with a number of questions on this topic of keeping patients motivated. During the workshop, we would like to discuss how we could keep patients motivated, and how we could implement a social component to let patients interact with their environment, without getting demotivated.