In this article, I argue that centering multimodal practices is important in the study of human communication and sociality, and becomes particularly relevant in the presence of asymmetries in language access. Using data collected as part of a two-year linguistic ethnography of deaf youth in Iquitos, Peru, I demonstrate how three siblings engage in extended dispute routines even in the face of sensory and communicative asymmetries. The microanalysis of video-recorded sibling interaction sheds light on their use of diverse multimodal resources to navigate the common interactional work of securing an interlocutor, coordinating attention, managing misunderstandings, and establishing shared references (Sidnell 2007, 2009). Not only do the siblings utilize multimodal resources to carry out the interactional project of making an accusation and building alliances, but they also ‘co-operatively’ engage in building a shared semiotic repertoire (C. Goodwin 2018). (Deaf, sign language, linguistic ethnography, multimodality, semiotic repertoire, Peru)*