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Not OP but I have this too. It’s like a voice in your head constantly. It can make writing very easy as you just transcribe the internal monologue.

It’s weird, I’d be hesitant to say “it’s a voice” but it kind of is and it is not my own which I find curious (who on earth is speaking in my head). In some ways it sad, if I close my eyes, I can’t picture a sunset and I can’t really dream. I love reading books but I can’t visualise the settings properly but it resonates with how my mind describes the world to itself.

He says he just knows concepts. His brain works in non-verbal, non-visual concepts. Like he knows that his wife's eyes are blue and can draw her, but he can't visualize it.

Even easier, what are they doing when they are reading?

You don't need to imagine words, sounds, or pictures to absorb information. There's the live image of the text, but you don't need visualization.

I know people who have trained themselves to skip the "sound out the word in your head" part of reading and are incredibly fast readers. I personally can't do it, but there are neurotypical people who can.