This game has been out for quite some time, however just recently accessibility features, such as full narration (not through the screen reader yet), audio cues and more blind accessibility features are being added.
The game is fully playable now, however the developer is still looking for feedback on what to add next.
Yes, the game is only on Steam currently. Yes, the developer is looking into other store options such as Itch and Gog.
Steam has finally fixed the -no-dwrite argument for the launcher. For best results, change the Steam shortcut to this. Properties > Target:
"C:\Program Files (x86)\Steam\Steam.exe" -login Username "password" -no-dwrite
Note: Your password must be surrounded in quotes, as per the example.
A game demo is available. Here is the Steam store link.