@rooktallon@seedy 2004 had an accessibility mod created for it. I don't think the dev added everything they wanted to, there weren't really many navigation aids from what I remember, but it had a basic screen reader that read most of the UI and messages during a match, some keys to check your health and ammo and there was an audio crosshair as well. I have no idea where you can download it now. As for 99 I haven't heard about anyone playing it blind.
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