Two parts that are not linked to each other. The field is a plain <textarea>. The suggestion list is a separate menu in a portal, with role="menu" and role="menuitem" children.
There is no role="combobox" and no ARIA tying the two together. The field sets no aria-expanded, aria-controls, aria-activedescendant or aria-autocomplete, and focus stays in the textarea. The keyboard works, but a screen reader hears a textarea that seems to do nothing.
Treat the list as a shortcut. The field has to work for a reader who never uses it.