Hi @jukesy1992,
Thanks for trying out my game. I'm afraid, the browser version can't currently display text in a way the screen reader would understand well enough. However, the Linux binary has an ANSI frontend tweaked specifically to help screen readers, running in a terminal emulator. I'm afraid the ANSI text frontend doesn't work on Windows. It may work on the OSX Homebrew port, though. Let me know if I can help you further.
All the best,
Mikolaj