diff --git a/source/NVDAObjects/IAccessible/__init__.py b/source/NVDAObjects/IAccessible/__init__.py
index 4f9a67f09c3..86dee18b09f 100644
--- a/source/NVDAObjects/IAccessible/__init__.py
+++ b/source/NVDAObjects/IAccessible/__init__.py
@@ -2038,8 +2038,27 @@ def event_alert(self) -> None:
 			return
 		speech.speakObject(self, reason=controlTypes.OutputReason.FOCUS, priority=speech.Spri.NOW)
 		braille.handler.message(braille.getPropertiesBraille(name=self.name, role=self.role))
+		hasDescription = bool(self.description)
 		for child in self.recursiveDescendants:
-			if controlTypes.State.FOCUSABLE in child.states:
+			isFocusable = controlTypes.State.FOCUSABLE in child.states
+			if hasDescription and not isFocusable:
+				shouldSpeak = isFocusable
+			else:
+				shouldSpeak = (
+					isFocusable
+					or child.role
+					in (
+						controlTypes.Role.HEADING,
+						controlTypes.Role.LIST,
+						controlTypes.Role.LISTITEM,
+					)
+					or (
+						child.role == controlTypes.Role.STATICTEXT
+						and child.parent is not None
+						and child.parent.role == controlTypes.Role.PARAGRAPH
+					)
+				)
+			if shouldSpeak:
 				speech.speakObject(child, reason=controlTypes.OutputReason.FOCUS, priority=speech.Spri.NOW)
 				braille.handler.message(braille.getPropertiesBraille(name=self.name, role=self.role))
 
diff --git a/user_docs/en/changes.md b/user_docs/en/changes.md
index 2a5a731571d..ae1918c9f75 100644
--- a/user_docs/en/changes.md
+++ b/user_docs/en/changes.md
@@ -20,6 +20,7 @@
 * Reduced lag on UI Automation text change events, improving the responsiveness of controls such as combo boxes and of File Explorer, by using the cached element class name instead of a live cross-process fetch. (#16749, @heath-toby)
 * NVDA recovers more quickly when an application stops responding; in particular, switching away from a hung application returns NVDA to responsiveness immediately. (#20169, @heath-toby)
 * In Mozilla Firefox, reporting annotation details now works correctly in focus mode on controls which are not editable text. (#20208, @jcsteh)
+* NVDA now announces heading, paragraph, list, and list item children inside `role="alert"` elements. (#14990, @mehm8128)
 
 ### Changes for Developers