I figured it out!
1. Enter "about:config"
2. Search for "ui.SpellCheckerUnderline"
3. You won't find anything but you can now add this a new config option. Select type "string".
4. Enter a hex-code like "#D66BBD"
#firefox #spellcheck #spellchecker #accessibility #colorblind
#d66bbd #firefox #spellcheck #spellchecker #accessibility #colorblind