i initially got curious when i learned that there's a community of low-sight and blind roguelike players who can play these games with a screen reader
one of the more popular roguelikes, dungeon crawl: stone soup was a popular choice because of a lot of the accessibility features and tweaks made to streamline the game
and upon learning this, the crawl devs were both surprised, but also apparently started thinking of other ways to improve playability with screen readers
https://www.rockpapershotgun.com/playing-roguelikes-when-you-cant-see
for realsies though, this article (and the roguelike radio episode linked in it) kick so much ass