Syntherceptor is a SAPI5 synthesiser which speaks using NVDA.
Download the latest installer using the link at the top of this page. Then, run the installer and follow the instructions.
deps/nvdaControllerClient inside the Syntherceptor checkout directory.From a command prompt, change to the Syntherceptor checkout directory and run scons.
The resulting installer can be found as build/syntherceptor_unknown.exe.