A5E for FoundryVTT is streets ahead of regular DnD 5e- but it's still DnD. And being Foundry, the main focus is the map, with players cameras off to the side.
I always run with my webcam on, and I enjoy it when I can see my players, but I also understand that one of the pros of playing online is not having to worry about your appearance- few of my games have players that regularly use webcams.
There are a couple VTTs out there that cater to theater of the mind and "face to face" play, though I can't recall the names. I imagine PbtA stuff would be great on those.
I've heard of Ironsworn over the years but know nothing about it.