Strike element without any special treatement

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Strike element with screen reader only text

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CSS text-decoration with SR only text

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CSS Generated Content + Visually Clipped Text

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Paul J adam has this nice testing page for del and ins element

Scott O'Hara says:

Naming of del and ins are not elements that you can consistently rely on to be named. For instance, JAWS with chromium/firefox browsers will not announce the aria-labels of these elements which is correct behavior. Similarly with iOS + VO. the del/ins elements are really meant to be used specifically in the context of marking up a document for edits - much like if using google docs. that said, nvda has implemented support for these so they will create announcements of "inserted" and "deleted"