This study assessed the accessibility of assistive technologies (AT) for patrons with visual impairments (VI) within academic libraries of Zimbabwe’s Midlands Province. Employing a case study design with a subjectivist epistemology, the research explored the needs of patrons with VI and the current provision of AT in five libraries. Data generation used a combination of questerviews, interviews, focus groups and document analysis, involving library staff, patrons with VI, disability studies lecturers, student services staff and members of the Zimbabwe Library Association. The findings revealed a significant gap between the needed AT (including Braille, screen readers, accessibility software, book readers, reference services and Internet of Things [IoT] applications) and what libraries currently offer. Challenges identified included inadequate equipment, funding limitations and, at times, staff’s negative attitudes. To address these issues, the research suggests creative solutions like seeking donations, crowdfunding or establishing public–private partnerships. Additionally, the study recommends the creation of disability resource centres within the libraries and advocates national legislation, through the Zimbabwe Library Association, to ensure accessibility for individuals with disabilities in academic institutions.