If by "wearable" you mean something that's just sitting on your head, the answer is probably "no".
There are two ways that sound can get into the human body:
- Airborne sound: transmitted through the air and received through the ears (outer ear -> middle ear -> inner ear -> cochlea ->brain).
- Structure borne sound: vibrations transmitted through floor, chair, walls into the body and that transmitted through the body into the cochlea (were your sound receptors are). This can technically include sound that comes through the air but gets into your body through some other means than the ears, but this is rarely the case
Reduction of airborne sound is relatively easy to measure since there are are only two ingress points, where the sound can be quantified. Even that has a fair bit of complexity: the sound attenuation is usually strongly dependent on frequency and the definition of NRR makes some very simplifying assumptions around that.
The current limits of airborne sound reduction through plugs and over the ear contraptions are indeed around 30dB limited especially at low frequencies by head-to-head, ear-to-ear, and placement variations. Everyone's head is different and getting a consistently good air seal at very low frequency is hard and also requires a LOT of clamping force which limits the wearability.
These are also the attenuation levels were structure borne sound start to become relevant and then things get much more complex. Even measuring the exposure is very difficult: in order to do this correctly you would have to drill a hole in the petrous bone close to the cochlea and then screw in a very sensitive accelerometer. That's a bit on the invasive side.
The conduction is also complicated. Bones are very good conductors of sound but the floppy bits (flesh, skin, organs, fat, ...) not so much. So the question becomes how does the vibration get into the body in the first place and how and where does it get into the skeleton. You are much more likely to pick up vibration from the floor if you are standing barefoot as compared to wearing fluffy slippers. If you sit down, it all depends on how your rear end couples to the seating surface. This is one of the few cases where a little more junk in the trunk is actually a good thing :-)
So any type of structure borne sound reduction would have to be specific to the contact and conduction mechanism. I'm guessing a heavy duty diving suit would help with most of that especially if you wear fluffy slippers on top of it, but I don't think there is a one-size-fits-all off-the-shelf solution.