Adjust button sizes to be smaller, about the same as capital letter height, and set typesize for letters so that they can be rendered in the center of the circle, aligning vertically with the text
Reduce line spacing in game list slightly, it would allow another line without cramping
Move box-art a few pixels down to align with the top of the first line
Reduce opacity (or render very light gray) the top bar to separate it out from the active menu list
Is it possible to render the pills/highlights and other vector elements like the buttons with anti aliasing?
after:
before: