“Missing” Accessibility settings. (TTS)

@ROTTERDAM-BOSS I'm very sorry for not responding sooner, need to double check my notifications as I should have seen this.

As for the issue, I'm still kind of stumped. It seems to be related to privacy in some form, but I haven't been able to identify a specific setting. If it's happening for the new account you create but not affecting your friend, then that sounds like there's some default template that your local system is using.

Have you been able to test your account on another system, or even a previous-gen xbox? It's ok if not.

Edit: to go off a colleague's suggestion, can I check if you are in, or have been in, any Xbox Insider previews?