Empathy games are a promising yet new research avenue that explores how to design empathic game experiences that would help children to understand and address the emotions of other people. Research in this field was primarily done in the USA and there is a research gap in understanding how empathy game design can apply and differ from the contexts of other countries. Our study replicated a study earlier conducted in the USA, aiming to explore the dynamic of the PD process, and identify specifics and challenges for PD methodology related to empathy and game design in the Indian context. We conducted a series of participatory design (PD) sessions with 18 Indian children between 7 and 11 years old. This paper reports our preliminary findings, including the following: (1) it might be challenging for Indian children to discuss and design for empathy and emotions-related topics, (2) using the English language can be a barrier while working with Indian children of 8 years old and younger, (3) cultural context affects roles children play in the design process. This paper contributes insights on identifying areas for further methodological work in PD for the Indian context.