Anything besides vanilla Arch?

[Linux for blind general discussion]

Considering the OP mentioned Windows, I'm assuming they're in the
market for x86 distros.

Sadly, I'm pretty ignorant of Arch and its derivatives, and perhaps
you think Debian is too close to Ubuntu with Ubuntu being a Debian
derivative, but if you're willing to go a bit further abroad, the
Slackware-based Slint boasts excellent out of the box blind
accessibility, though I haven't tried it myself.