OBS Studio is doable. I have been using it for quite a while now.
It could be a lot more accessible though. It is way more accessible than it used to be.
As far as my streams, I just did one last night. I stream and record in OBS, and then upload the resulting video file OBS creates to Youtube.
One thing OBS Studio allows you to do is make specific audio sources that can be controlled independently of game audio. I set up something similar to Liam last night. I'm not sure what his setup is, but I tried to replicate it with what I had. I made a file containing my voice saying that the stream will start soon, followed by a few tracks of music. Since I don't have the handy dandy Stream Deck, I set up these scenes with hotkeys. This could be refered to as the pre-stream. The one thing I have yet to verify is how my text source of Stream is starting soon is appearing. My go-to solution to fix video hickups if there is either no video or video not sized right, is to transform the source in question to both fit the screen and center to screen. That seems to fix most things, since we can't drag it around and resize manually.
After setting up scenes with sources to do specific things at certain times, I now know why Liam, among others, has the Stream Deck. Now, I have to remember each and every hotkey I made to control scenes, not to mention that there's the microphone and game/desktop audio keys to control those as well. With the stream deck, I could take those four actions to hide my audio music source, hide the text source onscreen, and show the game source and unmute the mic. I could program all of that into one single button.
I knew about scene colections, but I never took advantage of them until yesterday. I created one for Flight Simulator, with my Streamlabs overlays, scenes for Prepar 3D and ProjectFly. My console one, on the other hand, I'll just duplicate this collection, remove the P3D and ProjectFly scenes, and replace them both with a scene that contains my Elgato capture card as a source.
I could duplicate it yet again and make a Steam collection for things like Skullgirls, etc.
The interface could do with some more accessibility, E.G. labeling the checkboxes for whether a source is hidden or shown and what the source actually is. If we want to be serious and use OBS Studio like a lot of the top streamers do, this is a necessity.
Long post but hope it helps someone. We need more blind streamers to join us, even if you play audio games. No need to pay for hosting; Youtube will host it. You can't archive your VODs forever on Twitch unless you're a partner though with a recurring viewership. I certainly don't have that on Twitch yet. I think because most of my followers are blind and people think Twitch is inaccessible. Some parts of managing setup is, E.G. extensions, panels etc, but the viewing experience is accessible enough. Someone from the flight simulation community came in last night and said hi and gave a quick follow, so that was nice. Almost immediately after FSX Pilot stopped controlling
my plane during approach and well, I couldn't impress that viewer. Hopefully he'll come back next time!