There are a ton of customisation options in the accessibility settings in iOS. When doing things the Apple way, this options should, in most cases, just work for you. If not, you can find flags to check for all these options in UIAccessibility.
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Since iOS 14, UIAccessibilityCustomAction has an initialiser that accepts an image, as well as a name and action handler. Configuring one will make your custom actions easier to spot in the Switch Control menu. https://developer.apple.com/documentation/uikit/uiaccessibilitycustomaction/init(name:image:actionhandler:)
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A common example where you need to manually configure the button accessibility trait is for some table/collection view cells. These tend to be “buttons” that perform an action, like playing music, or bring the user to a different screen.
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