We took the Historic Tour of the cave. It has many steps including 150ish up a fire tower. I am not in very good physical shape, but was able to make the 2 hour trip. It was hard though and wouldn't recommend it if you have difficulty with steps. The rangers keep moving at a good pace. I found the most difficulty I had was being able to see the grade of the path. It is dimly lit but walking along the path was a bit scary because I couldn't see well in the darkness. I didn't expect that because I have been to Mammoth Cave before several times, but it was over 20 years ago. So my recommendation is that if you have difficulty seeing at night, consider whether this is the trip for you. It's a great tour and the rangers are very knowledgable and helpful. I probably won't do the tour again, but only because of my poor night vision
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