So far, I've encountered no problem adding masto accounts in akkoma. That said, I don't use it much.
It was mainly the search, it was a ghost town for Masto content and accounts. Maye that's still a WIP, but finding accounts I want to doesn't seem easy.
I'm running a calckey instance and have no issue. Akkomas site claims it federates with Mastodon so is it maybe a non-Akkoma issue? Something in your server setup maybe?
I don't know the full story but I'm aware of an association between pleroma and some of the nastier, nazier corners of the fedi. My guess is that many of the larger instances running pleroma have been defederated from their masto counterparts.
A quick Google of "pleroma Nazis" gave me this, probably more nuanced, explanation: https://medium.com/@Trevatos/gnu-social-pleroma-and-the-mastodon-culture-conflict-3b10872937c2
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