Quote Originally Posted by Saimeren View Post
If you have small hands you have the alt and ctrl keys. If you have big hands you have the function keys.
The function keys, on most keyboards I've seen, are either inside the alt key (thus not preferable over Alt for larger hands anyways) or are --typically smaller-- on the far end of the keyboard...
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I agree that the use of mod and thumb keys allow for a great many accessible binds, but what a player has access to, even then, is still within particular thresholded limits based on hand size and degree of mobility, even when ignoring any difficulty in adjusting muscle memory to a new layout.

The last time I injured my hand (and wrist), the only mod key I could reliably use without pain, especially if playing more than some dozen minutes, sessions was my CAPS, which I had rebound to Alt. Adding Shift allowed me another 10 keys (QWERASFZXC) but required moving my palm down from a neutral WASD position.

That's not to say we should build the game around that degree of injury, but "just get creative" isn't particularly useful advice; there are certain movements that become unusable, unusable without pain, or unusable without pain over longer spans, whether that be stretching laterally, vertically, twisting the wrist inwardly, outwardly, or translation (due to needing to rest the weight of the hand).

To assume that anyone having problems just hasn't remotely tried to think their way out of their situation is... not great.