So there's a way to get the Steam app to play nice with screen readers.
Go to your desktop and highlight your Steam icon. Open your applications menu, go to properties and add -gamepadui to the end of the string. Make sure there's a space between the quote marker and the dash or it won't work.
You might have to login again, but this throws the app into a beta of the Steam Deck UI which fuck me sideways is very NVDA friendly. There's some bugs here and there, but this is lightyears better than what we had to deal with before.
@LavenderPawprints some things like the controller configuration seem to have switched to this mode by default. And I am so happy because it means I can finally actually use my steam deck properly aaaaa
A fun, happy little Mastodon/Hometown instance.