I just noticed this thread about the difficulties people with screen readers have been having with spoiler tags. So what follows is entirely a spoiler. You have been warned.
Anyway, what I had concealed with the spoiler tags was events in the game, such as being beat up by skater punks, and getting captured by secret agents and being thrown into a mime prison. I also mentioned one dream the player character has about an angelic figure. Brian/mathbrush suggested visiting the hospital and the arcade.
In case anyone who uses a screen reader has actually played the game, I am curious as to how accessible it is. It seems to have a lot of text scattered across the screen, and it would be interesting to know how well it can be navigated with a screen reader. Honestly, even as a sighted player I found the interface a bit irritating, but it was at most a minor inconvenience.