Since 2023-08-01, NeoMutt has supported striped highlighting of the Help Screen. It's enabled by default, using alternate lines of bold for emphasis.
color pager_even default default
color pager_odd default default
color pager_even reverse default default
color pager_odd default default
color pager_even bold default default
color pager_odd default default
color pager_even underline default default
color pager_odd default default
color pager_odd blue cyan
color pager_even black white
color pager_even default color253
color pager_odd default default
color pager_even default color234
color pager_odd default default