hCaptcha is awful at this. You can request an 'accessibility cookie' by typing in an email address but for me it denied me with a generic error.
I contacted support, they asked me for IP and browser details. I responded and they gave me suggestions like using a VPN or rebooting the modem to pick up a new dynamic IP. :/
A screen reader is replaced by the audio, and otherwise for you to use the webpage you’re looking at it so you can see. What’s missing? I guess if you rely on braille because you’re deaf and blind?