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So-so. There is an experimental screen reader you can enable in the "Backend" panel of egui.rs.

There is ongoing work to integrate AccessKit (https://github.com/AccessKit/accesskit) which will improve things significantly.

Anyone who's interested in the AccessKit integration can play with my work-in-progress branch: https://github.com/mwcampbell/egui/tree/accesskit

It's currently Windows-only, and I'm working on the big missing feature, which is text editing support.