diff --git a/stardew-access/HarmonyPatches.cs b/stardew-access/HarmonyPatches.cs
index bb77f1f..ec74193 100644
--- a/stardew-access/HarmonyPatches.cs
+++ b/stardew-access/HarmonyPatches.cs
@@ -50,6 +50,11 @@ namespace stardew_access
                 original: AccessTools.Method(typeof(CoopMenu), nameof(CoopMenu.update), new Type[] { typeof(GameTime) }),
                 postfix: new HarmonyMethod(typeof(TitleMenuPatches), nameof(TitleMenuPatches.CoopMenuPatch))
             );
+
+            harmony.Patch(
+                original: AccessTools.Method(typeof(AdvancedGameOptions), nameof(AdvancedGameOptions.draw), new Type[] { typeof(SpriteBatch) }),
+                postfix: new HarmonyMethod(typeof(TitleMenuPatches), nameof(TitleMenuPatches.AdvancedGameOptionsPatch))
+            );
             #endregion
 
             #region Game Menu Patches
diff --git a/stardew-access/Patches/TitleMenuPatches.cs b/stardew-access/Patches/TitleMenuPatches.cs
index 892cdc7..85b5010 100644
--- a/stardew-access/Patches/TitleMenuPatches.cs
+++ b/stardew-access/Patches/TitleMenuPatches.cs
@@ -11,8 +11,64 @@ namespace stardew_access.Patches
         private static int saveGameIndex = -1;
         private static bool isRunning = false;
         public static string characterCreationMenuQueryKey = " ";
+        public static string advancedGameOptionsQueryKey = " ";
         public static string prevPetName = " ";
 
+        internal static void AdvancedGameOptionsPatch(AdvancedGameOptions __instance)
+        {
+            try
+            {
+                int currentItemIndex = Math.Max(0, Math.Min(__instance.options.Count - 7, __instance.currentItemIndex));
+                int x = Game1.getMouseX(true), y = Game1.getMouseY(true);
+                for (int i = 0; i < __instance.optionSlots.Count; i++)
+                {
+                    if (__instance.optionSlots[i].bounds.Contains(x, y) && currentItemIndex + i < __instance.options.Count && __instance.options[currentItemIndex + i].bounds.Contains(x - __instance.optionSlots[i].bounds.X, y - __instance.optionSlots[i].bounds.Y))
+                    {
+                        OptionsElement optionsElement = __instance.options[currentItemIndex + i];
+                        string toSpeak = optionsElement.label;
+
+                        if (optionsElement is OptionsButton)
+                            toSpeak = $" {toSpeak} Button";
+                        else if (optionsElement is OptionsCheckbox)
+                            toSpeak = (((OptionsCheckbox)optionsElement).isChecked ? "Enabled" : "Disabled") + $" {toSpeak} Checkbox";
+                        else if (optionsElement is OptionsDropDown)
+                            toSpeak = $"{toSpeak} Dropdown, option {((OptionsDropDown)optionsElement).dropDownDisplayOptions[((OptionsDropDown)optionsElement).selectedOption]} selected";
+                        else if (optionsElement is OptionsSlider)
+                            toSpeak = $"{((OptionsSlider)optionsElement).value}% {toSpeak} Slider";
+                        else if (optionsElement is OptionsPlusMinus)
+                            toSpeak = $"{((OptionsPlusMinus)optionsElement).displayOptions[((OptionsPlusMinus)optionsElement).selected]} selected of {toSpeak}";
+                        else if (optionsElement is OptionsInputListener)
+                        {
+                            string buttons = "";
+                            ((OptionsInputListener)optionsElement).buttonNames.ForEach(name => { buttons += $", {name}"; });
+                            toSpeak = $"{toSpeak} is bound to {buttons}. Left click to change.";
+                        }
+                        else if (optionsElement is OptionsTextEntry)
+                        {
+                            toSpeak = $"Seed text box";
+                        }
+                        else
+                        {
+                            if (toSpeak.Contains(":"))
+                                toSpeak = toSpeak.Replace(":", "");
+
+                            toSpeak = $"{toSpeak} Options:";
+                        }
+
+                        if (advancedGameOptionsQueryKey != toSpeak)
+                        {
+                            advancedGameOptionsQueryKey = toSpeak;
+                            MainClass.ScreenReader.Say(toSpeak, true);
+                        }
+                        return;
+                    }
+                }
+            }
+            catch (Exception e)
+            {
+                MainClass.ErrorLog($"Unable to narrate Text:\n{e.Message}\n{e.StackTrace}");
+            }
+        }
 
         internal static void CoopMenuPatch(CoopMenu __instance, CoopMenu.Tab ___currentTab)
         {
@@ -327,6 +383,9 @@ namespace stardew_access.Patches
             if (__instance.skipIntroButton != null && __instance.skipIntroButton.visible)
                 buttons.Add(__instance.skipIntroButton, (___skipIntro ? "Enabled" : "Disabled") + " Skip Intro Button");
 
+            if (__instance.advancedOptionsButton != null && __instance.advancedOptionsButton.visible)
+                buttons.Add(__instance.advancedOptionsButton, "Advanced Options Button");
+
             if (__instance.okButton != null && __instance.okButton.visible)
                 buttons.Add(__instance.okButton, "OK Button");
 
diff --git a/stardew-access/manifest.json b/stardew-access/manifest.json
index 6eb3d30..728ed20 100644
--- a/stardew-access/manifest.json
+++ b/stardew-access/manifest.json
@@ -1,7 +1,7 @@
 {
   "Name": "Stardew Access",
   "Author": "Mohammad Shoaib",
-  "Version": "1.2.4",
+  "Version": "1.2.5",
   "Description": "An accessibility mod with screen reader support!",
   "UniqueID": "shoaib.stardewaccess",
   "EntryDll": "stardew-access.dll",