diff --git a/README.md b/README.md
index 1d6f22b..559bd90 100644
--- a/README.md
+++ b/README.md
@@ -70,7 +70,9 @@ Instances talk to each other over ActivityPub, and nobody stands in the middle.
 
 **Comfort and access**
 - Light, dark, and system themes, warm palettes, and text scaling up to 200%
-- Colorblind palettes, a screen-reader narrator, keyboard-only play, and reduced-motion cell animations
+- A screen-reader native grid: every cell is focusable and announced with its number, letter, and state, and Alt+A / Alt+D read the across and down words aloud (/ reads the clue, space reads the cell, Ctrl+H the puzzle overview)
+- A voice narrator with three verbosity levels and an output mode (voice, screen reader, or both) so blind players get the same flow through their own screen reader
+- Colorblind palettes and reduced-motion cell animations
 - Sound effects and a tor-friendly mode that keeps the page light for slow connections
 
 ---
diff --git a/frontend/src/components/Grid.tsx b/frontend/src/components/Grid.tsx
index d224cb4..fb7650f 100644
--- a/frontend/src/components/Grid.tsx
+++ b/frontend/src/components/Grid.tsx
@@ -1,4 +1,4 @@
-import { useRef } from 'react'
+import { useRef, useEffect } from 'react'
 import { useTranslation } from 'react-i18next'
 import { motion, AnimatePresence } from 'motion/react'
 import { useStore } from '../store'
@@ -17,6 +17,8 @@ function getCellSize(gridSize: number): number {
 export default function Grid() {
   const { t } = useTranslation()
   const svgRef = useRef<SVGSVGElement>(null)
+  const wrapperRef = useRef<HTMLDivElement>(null)
+  const cellRefs = useRef<(HTMLButtonElement | null)[]>([])
   const puzzle = useStore((s) => s.puzzle)
   const entries = useStore((s) => s.entries)
   const cellStatus = useStore((s) => s.cellStatus)
@@ -29,9 +31,17 @@ export default function Grid() {
   const mpPlayers = useStore((s) => s.mpPlayers)
   const inputMode = useStore((s) => s.inputMode)
 
+  const width = puzzle?.width ?? 0
+  const height = puzzle?.height ?? 0
+
+  useEffect(() => {
+    if (!selectedCell || !wrapperRef.current?.contains(document.activeElement)) return
+    const idx = selectedCell.row * width + selectedCell.col
+    cellRefs.current[idx]?.focus()
+  }, [selectedCell, width])
+
   if (!puzzle) return null
 
-  const { width, height } = puzzle
   const CELL = getCellSize(Math.max(width, height))
   const NUM_SIZE = Math.round(CELL * 0.26)
   const LETTER_SIZE = Math.round(CELL * 0.52)
@@ -45,6 +55,7 @@ export default function Grid() {
 
   return (
     <div
+      ref={wrapperRef}
       className={`grid-wrapper${inputMode === 'stylus' ? ' stylus-active' : ''}`}
       style={{ maxWidth: width * CELL, width: '100%' }}
       onContextMenu={inputMode === 'stylus' ? (e => e.preventDefault()) : undefined}
@@ -53,10 +64,7 @@ export default function Grid() {
         ref={svgRef}
         viewBox={`0 0 ${width * CELL} ${height * CELL}`}
         style={{ width: '100%', maxWidth: width * CELL, display: 'block' }}
-        tabIndex={0}
-        role="grid"
-        aria-label={t('grid.ariaLabel', { width, height })}
-        aria-activedescendant={selectedCell ? `cell-${selectedCell.row}-${selectedCell.col}` : undefined}
+        aria-hidden="true"
       >
         <defs>
           <style>{`
@@ -87,9 +95,6 @@ export default function Grid() {
             if (status === 'incorrect') textColor = 'var(--incorrect)'
             if (status === 'revealed') textColor = 'var(--revealed)'
 
-            const ariaLabel = isBlack ? t('grid.blackCell') :
-              t('grid.cellLabel', { row: r + 1, col: c + 1 }) + (num ? t('grid.cellNumber', { num }) : '') + (letter ? t('grid.cellLetter', { letter }) : t('grid.cellEmpty'))
-
             return (
               <g
                 key={`${r},${c}`}
@@ -97,8 +102,6 @@ export default function Grid() {
                 data-cell={`${r},${c}`}
                 onClick={() => !isBlack && selectCell(r, c)}
                 style={{ cursor: isBlack ? 'default' : 'pointer' }}
-                role="gridcell"
-                aria-label={ariaLabel}
               >
                 <rect
                   x={x} y={y}
@@ -190,6 +193,36 @@ export default function Grid() {
           strokeWidth={1.5}
         />
       </svg>
+      {/* screen reader layer: one focusable cell per grid cell, invisible to the eye */}
+      <div
+        className="grid-sr-grid"
+        style={{ gridTemplateColumns: `repeat(${width}, 1fr)`, aspectRatio: `${width} / ${height}` }}
+      >
+        {Array.from({ length: height }, (_, r) =>
+          Array.from({ length: width }, (_, c) => {
+            const isBlack = puzzle.cells[r][c] === 'black'
+            const isSelected = selectedCell?.row === r && selectedCell?.col === c
+            const num = puzzle.cell_numbers[`${r},${c}`]
+            const letter = entries[r]?.[c] || ''
+            const pencilLetter = !letter && pencilEntries[r]?.[c] ? pencilEntries[r][c] : ''
+            const status: CellStatus = cellStatus[r]?.[c] || 'default'
+            const label = isBlack ? t('grid.blackCell') :
+              t('grid.cellLabel', { row: r + 1, col: c + 1 }) + (num ? t('grid.cellNumber', { num }) : '') + (letter ? t('grid.cellLetter', { letter }) : t('grid.cellEmpty')) +
+              (status === 'correct' ? t('grid.cellCorrect') : status === 'incorrect' ? t('grid.cellIncorrect') : status === 'revealed' ? t('grid.cellRevealed') : pencilLetter ? t('grid.cellPencil', { letter: pencilLetter }) : '')
+            return (
+              <button
+                key={`sr-${r}-${c}`}
+                ref={el => { cellRefs.current[r * width + c] = el }}
+                type="button"
+                className="grid-sr-cell"
+                tabIndex={isSelected ? 0 : -1}
+                aria-label={label}
+                onClick={() => !isBlack && selectCell(r, c)}
+              />
+            )
+          }),
+        )}
+      </div>
       <CellFlip svgRef={svgRef} />
       <InkOverlay svgRef={svgRef} />
     </div>
diff --git a/frontend/src/components/SettingsPanel.tsx b/frontend/src/components/SettingsPanel.tsx
index fbc5608..c274bae 100644
--- a/frontend/src/components/SettingsPanel.tsx
+++ b/frontend/src/components/SettingsPanel.tsx
@@ -164,6 +164,17 @@ function NarratorSettingsBlock() {
                 ]} />
             </div>
 
+            <div className="settings-narrator-item">
+              <label className="settings-sublabel">{t('settings.narrator.output')}</label>
+              <Select value={narratorSettings.mode}
+                onChange={v => { const s = String(v); if (s === 'voice' || s === 'screenreader' || s === 'both') setNarratorSettings({ mode: s }) }}
+                options={[
+                  { value: 'voice', label: t('settings.narrator.outputVoice') },
+                  { value: 'screenreader', label: t('settings.narrator.outputScreenReader') },
+                  { value: 'both', label: t('settings.narrator.outputBoth') },
+                ]} />
+            </div>
+
             <Toggle checked={narratorSettings.sounds} onChange={v => setNarratorSettings({ sounds: v })}
               label={t('settings.narrator.soundEffects')} />
           </motion.div>
diff --git a/frontend/src/hooks/useKeyboard.ts b/frontend/src/hooks/useKeyboard.ts
index 0b5cc90..ad7ea73 100644
--- a/frontend/src/hooks/useKeyboard.ts
+++ b/frontend/src/hooks/useKeyboard.ts
@@ -1,5 +1,6 @@
 import { useEffect } from 'react'
 import { useStore } from '../store'
+import type { Direction } from '../types'
 import * as narrator from '../narrator'
 
 function readCurrentCell() {
@@ -23,6 +24,23 @@ function readCurrentCell() {
   narrator.speak(msg)
 }
 
+function readWord(dir: Direction) {
+  const { puzzle, selectedCell, entries, wordSpans } = useStore.getState()
+  if (!puzzle || !selectedCell) {
+    narrator.speak('No cell selected')
+    return
+  }
+  const span = wordSpans.find(s =>
+    s.direction === dir && s.cells.some(([r, c]) => r === selectedCell.row && c === selectedCell.col)
+  )
+  if (!span) {
+    narrator.speak(`No ${dir} word here`, false)
+    return
+  }
+  const letters = span.cells.map(([r, c]) => entries[r]?.[c] || 'blank')
+  narrator.speak(`${dir === 'across' ? 'Across' : 'Down'} ${span.number}, ${span.cells.length} letters: ${letters.join(', ')}.`, false)
+}
+
 function readCurrentClue() {
   const { puzzle, activeClue, direction, wordSpans, entries, narratorSettings } = useStore.getState()
   if (!puzzle || activeClue === null) {
@@ -83,7 +101,7 @@ function getGridEl(): HTMLElement | null {
 let gridHasFocus = false
 
 function updateGridFocus(target: EventTarget | null) {
-  gridHasFocus = target instanceof Node && !!getGridEl()?.contains(target)
+  gridHasFocus = !!getGridEl()?.contains(document.activeElement) || (target instanceof Element && !!getGridEl()?.contains(target))
 }
 
 export function useKeyboard() {
@@ -109,8 +127,8 @@ export function useKeyboard() {
 
     // give the grid initial keyboard focus when nothing else is focused
     if (document.activeElement === document.body || document.activeElement === null) {
-      const svg = getGridEl()?.querySelector('svg')
-      if (svg instanceof SVGSVGElement) svg.focus()
+      const firstCell = getGridEl()?.querySelector('button.grid-sr-cell')
+      if (firstCell instanceof HTMLButtonElement) firstCell.focus()
     }
 
     function onKeyDown(e: KeyboardEvent) {
@@ -144,6 +162,16 @@ export function useKeyboard() {
           readPuzzleOverview()
           return
         }
+        if (e.altKey && key.toLowerCase() === 'a') {
+          e.preventDefault()
+          readWord('across')
+          return
+        }
+        if (e.altKey && key.toLowerCase() === 'd') {
+          e.preventDefault()
+          readWord('down')
+          return
+        }
         if (key === 'Tab') {
           e.preventDefault()
           tabClue(!e.shiftKey)
diff --git a/frontend/src/index.css b/frontend/src/index.css
index a4ad634..3973de0 100644
--- a/frontend/src/index.css
+++ b/frontend/src/index.css
@@ -66,6 +66,22 @@
 [data-colorblind="deuteranopia"] { --correct: #3b82f6; --incorrect: #f97316; }
 [data-colorblind="tritanopia"] { --correct: #ef4444; --incorrect: #06b6d4; }
 
+.grid-sr-grid {
+  position: absolute;
+  inset: 0;
+  display: grid;
+}
+
+.grid-sr-cell {
+  border: 0;
+  padding: 0;
+  margin: 0;
+  background: transparent;
+  pointer-events: none;
+  outline: none;
+  cursor: default;
+}
+
 .visually-hidden {
   position: absolute; width: 1px; height: 1px;
   padding: 0; margin: -1px; overflow: hidden;
diff --git a/frontend/src/locales/en.json b/frontend/src/locales/en.json
index 48dab23..39ef943 100644
--- a/frontend/src/locales/en.json
+++ b/frontend/src/locales/en.json
@@ -86,6 +86,10 @@
     "cellNumber": ", number {{num}}",
     "cellLetter": ", letter {{letter}}",
     "cellEmpty": ", empty",
+    "cellCorrect": ", correct",
+    "cellIncorrect": ", incorrect",
+    "cellRevealed": ", revealed",
+    "cellPencil": ", pencil letter {{letter}}",
     "handwritingCanvas": "Handwriting input area"
   },
   "welcome": {
@@ -544,6 +548,10 @@
       "brief": "Brief",
       "normal": "Normal",
       "verbose": "Verbose",
+      "output": "Output",
+      "outputVoice": "Voice",
+      "outputScreenReader": "Screen reader",
+      "outputBoth": "Both",
       "soundEffects": "Sound effects",
       "notSupported": "Your browser does not support speech synthesis"
     },
diff --git a/frontend/src/narrator.ts b/frontend/src/narrator.ts
index d3e5863..6364d49 100644
--- a/frontend/src/narrator.ts
+++ b/frontend/src/narrator.ts
@@ -4,6 +4,7 @@ export interface NarratorSettings {
   pitch: number
   voice: string
   verbosity: 'brief' | 'normal' | 'verbose'
+  mode: 'voice' | 'screenreader' | 'both'
   sounds: boolean
 }
 
@@ -13,6 +14,7 @@ export const defaultNarratorSettings: NarratorSettings = {
   pitch: 1.0,
   voice: '',
   verbosity: 'normal',
+  mode: 'voice',
   sounds: true,
 }
 
@@ -36,8 +38,42 @@ export function cancel() {
   window.speechSynthesis.cancel()
 }
 
+// a polite live region that screen readers announce from, created on demand
+let srRegion: HTMLElement | null = null
+
+function getSrRegion(): HTMLElement {
+  if (!srRegion) {
+    srRegion = document.createElement('div')
+    srRegion.setAttribute('aria-live', 'polite')
+    srRegion.setAttribute('role', 'status')
+    srRegion.className = 'visually-hidden'
+    document.body.appendChild(srRegion)
+  }
+  return srRegion
+}
+
+function announceToScreenReader(text: string) {
+  const region = getSrRegion()
+  const msg = document.createElement('span')
+  msg.textContent = `${text} `
+  region.appendChild(msg)
+  while (region.children.length > 6) {
+    const first = region.firstChild
+    if (first) region.removeChild(first)
+  }
+  setTimeout(() => msg.remove(), 15000)
+}
+
 export function speak(text: string, interrupt = true) {
-  if (!isSupported() || !settings.enabled) return
+  if (!settings.enabled) return
+
+  const mode = settings.mode
+  const wantsVoice = (mode === 'voice' || mode === 'both') && isSupported()
+  const wantsSr = mode === 'screenreader' || mode === 'both' || !isSupported()
+
+  if (wantsSr) announceToScreenReader(text)
+  if (!wantsVoice) return
+
   if (interrupt) cancel()
 
   const utterance = new SpeechSynthesisUtterance(text)
@@ -57,9 +93,6 @@ export function speak(text: string, interrupt = true) {
 export function preloadVoices() {
   if (!isSupported()) return
   getVoices()
-  if (window.speechSynthesis.onvoiceschanged !== undefined) {
-    window.speechSynthesis.onvoiceschanged = () => {}
-  }
 }
 
-preloadVoices()
+preloadVoices()
\ No newline at end of file