Another top rated accessibility option would be to include the ability of the game to read the text on the screen and repeat it in audio form. Many programs now do this for users on the web, but it has not yet made its way into the game universe. The successful implementation of this feature would be to offer text-to-speech on user created text, like guild chat, or other chats created by end users.
A gamer with difficulty reading information because of brain injury or eyesight issues has a very hard time interpreting text information at a comfortable rate. The ability to have the game audibly announce the information displayed on the screen would enable the gamer to participate in the game more effectively.