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DelvUI
DelvUI is a Dalamud plugin for Final Fantasy XIV that provides a fully customizable replacement for the default UI.
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WorkOS
The modern identity platform for B2B SaaS. The APIs are flexible and easy-to-use, supporting authentication, user identity, and complex enterprise features like SSO and SCIM provisioning.
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TextToTalk
Chat TTS plugin for Dalamud. Has support for triggers/exclusions, several TTS providers, and more!
As a preface, the addons I'm about to recommend require the use of XIVLauncher. Also, some of these may be nonfunctional at present due to the recent expansion launch. It shouldn't take too long before they get updates. Also, this is a third-party launcher that is against TOS. However, Square Enix has stated they will not scan your PC for third party programs and I have used it for over a year without hint of action against my account. Just don't talk about it ingame and you should be fine.
You might find some use in DelvUI. It's a replacement UI for the default hud with a truly staggering about of customizability - and by default is extremely blocky which should make things easier to see for you and give you more space to work with compared to the more slim default hud.
Secondly, Easyeyes is another tool useful for filtering what fx you see and don't see. Unfortunately I believe you need to actually see the fx for the easiest way to disable it, so it would be very awkward to do on the fly, but it still may be of some use to you.
BigPlayerDebuffs may be of use to you if you're playing a class that uses DoTs
SimpleTweaks includes many useful features. Of note is one that allows you to reposition and increase the size of the character bark dialogue boxes during fights. The Large Cooldown Counter would probably be of use to you also.
Hey, late reply but I've found another thing that may be of use to you. There's a plugin TextToTalk which does text-to-speech for chat windows. I figure this could be useful for you and maybe a better solution than a bigass chat panel.