I'm not running any form of virtualisation, this is a computer, the primary OS of which is windows. I'm running windows 7 64 bit, using NVDA as the game's screenreader.
I've tried using all 3 keys, using other hands, etc. I'm pretty sure my lack of reaction time is part of it, as I'm usually hitting alt just as the game's output announces my failure to do so.
spoilers
The furthest I've made it was to the 4 beep scroll, but that is where I failed sadly.
end spoilers
Deep in the human unconscious is a pervasive need for a logical universe that makes sense. But the real universe is always one step beyond logic.