Pilgrimages to sacred sites, motivated by both religious devotion and the desire for a spiritual and cultural experience, are experiencing an unexpected resurgence. These pilgrimages now involve a wide range of social classes and age groups, in line with the Universal Declaration of Human Rights, which emphasises the right of all individuals to participate in the cultural life of their community. This underlines the importance of making heritage accessible to all, regardless of their physical, cognitive or sensory abilities. The ‘special needs’ of today’s pilgrims go beyond mobility issues and include challenges such as visual and hearing impairments, dietary restrictions, and specific cognitive and emotional requirements. In this context, accessible tourism is a form of social responsibility. Furthermore, by addressing these specific needs, destinations can create new economic opportunities and play an active role in a responsible and sustainable tourism strategy. The Portuguese Senda Litoral route from Porto to Santiago de Compostela is a fundamental area for understanding the international dimension of the tourist pilgrimage phenomenon. The sensitivity shown by the public and private sectors towards pilgrims on this Portuguese section of the Pilgrim’s Way—who are welcomed and provided with spiritual and material assistance—has led to hospitality being consecrated as one of the hallmarks of pilgrimage. A hospitality network encourages an annual increase in the number of lodgings promoted by private initiative, thus reinforcing the traditional image of Portugal and Galicia as open lands of hospitality. After a brief review of the updated European intervention framework on the strategies and measures with which the Council of Europe aims to promote accessible tourism along the routes, the analysis focuses on reviewing the accessibility efforts made along this route, most of which focus mainly on physical accessibility. Some approaches to advancing research are proposed, such as universal design and the geography of perception, as useful tools for the creation of resources and new experiences that contribute to making the pilgrimages a truly accessible community experience.