Are there any kind of audible alarms out there for home assistant that works?
Yes many.
What networks do you have, wifi, zwave, zigbee?
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Iām using all
What is the main use case of the alarm in question, that will define the types that are recommended.
For home security. To wake me up as well as scare away intruders and alert neighbors. Loud as possible. Strobe or flashing lights a plus. Also 12v preferably
For zigbee there are ones like this:
https://www.aliexpress.com/item/1005003369599987.html
and this one