Communication systems, methods, and non-transitory machine-readable storage media are disclosed herein. A communication system may include a communication device configured to receive a video stream including sign language content and any content indicators associated with the video stream during a real-time communication session within a single communication device or between a plurality of communication devices. The communication system may also include a translation engine configured to automatically translate the sign language content into word content during the real-time communication session without assistance of a human sign language interpreter. Further, the communication system may be configured to output the word content translation to a communication device during the real-time communication session.