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Chapter 1: Running the Game / Special Considerations / Characters with Disabilities

Deafness or Being Hard of Hearing

Source GM Core pg. 22
A deaf character can't detect anything using hearing, critically fails Perception checks that require hearing, and is immune to auditory effects. These disabilities typically don't restrict their ability cast spells or use magic items, but if they perform an action they're not accustomed to that involves auditory elements, they must succeed at a DC 5 flat check or the action is lost. It's best to give them the Sign Language feat for free, and you might give them Read Lips as well (Player Core 261). You might give one or more other characters in the group Sign Language for free as well.

A hard-of-hearing character might take a –2 to –4 penalty to Perception checks that are hearing-based. Like spectacles, corrective devices for hearing can be found in most places that adventurers find themselves trading.