@acarson normally I’ve just used the 6-digit code myself – rarely I have gotten the camera thing to work, but it takes reasonable light and a flat surface, and since the screen is small you have a very tiny area to adjust it, too. I think I had to click “pair manually” on both the watch / app, but VoiceOver should auto-read the code when it appears now, so you should hear it right away and hopefully get it before timing out. A bit ironic to me that the manual pairing has that though