I have immense respect for those that are blind and need to interact this way. In the few days I used my phone this way I noticed multiple apps, especially my bank app with a keypad, had completely broken navigation and iirc not even numbered the actual buttons?! So it was a 'swipe right 9 times, double tap, swipe left 6 times' while the TTS was yelling nonsense!
Plugging in a display via USB also doesn't work because that also requires screen interaction to output to it (at least on Pixel phones).
The last thing I tried was plugging in a keyboard/mouse which do work automatically, but unfortunately I was using pattern unlock and there's no way to enter that via the keyboard (and good luck doing it with a mouse blind).
Finally the thing that you'd think should work - plugging in a new phone and transferring everything across ALSO requires you to confirm your pattern/PIN on the old phone.
It's absolutely insane. If anyone from Google is watching this.... people break screens!! Give them a way to access their stuff when the screen is broken.
The obvious easy solution is for the "transfer to a new phone" flow to allow entering the old phone's PIN/pattern ON THE NEW PHONE. Jesus.
The old phone's screen was OK though, and I don't remember if I had to use it to initiate the transfer.