In theory, the things that cannot be read by the screen reader in this game, like the things I just mentioned above in my other comments and I'm sure many more things I missed, surely the problem is that instead of being in text format they are in the format of a textual image and since the screen reader cannot read images, surely that is the problem. If an option were added to change those images to text, this problem would be solved.
Regarding accessibility in combat, in addition to the problem I mentioned in my previous comments, it would make it much easier to add a combat log so that we can know how much damage we have received and to know the amount of damage we have done to an enemy, as well as to know if the enemy uses skills or other things.