Macro Keys for Compact Keyboard Type

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How would you handle the ALT-row?

I think I would keep the alt row keys. They are more comfortable to press than the ctrl row keys I find. You could always remove them, but that would limit the number of macros I would imagine, right?

How is pushing the ctrl/alt on a compact any more difficult than on a full size keyboard?

Oh there is no difference in difficulty, but in a compact keyboard layout the number keys are not assigned to anything. In a full size keyboard pressing the number keys opens the chat window... Unless they've changed that. I haven't used a full size keyboard for FFXI in a while now!