The first public release of GrapheneOS Speech Services is now available in our App Store. After installing it, it can be activated as a text-to-speech service by tapping it in Settings > System > Language & region > Speech > Text-to-speech output > Preferred engine and approving it in the dialog.
@GrapheneOS I had to reboot after following the TTS setup instructions above in order to be able to test it via the "Play" button, for anyone having the same issue.
@container5573 You should also be able to solve that by closing the Settings activity and reopening it. It's due to an Android limitation.