Controller actually works pretty well, it can be weird at first trying to figure out how to get around the menu's, but it is actually pretty intuitive when you do. Now, there's many setting you will need to change or enable to make using a controller actually good, there's tons of videos about this so I recommend looking them up.
For casual content, and some light high end content I'd say a controller is actually superior to M&K. With a controller you have access to 32(max 48) ability slots that can be easily accessed using just your triggers and left/right dpads, this is a massive QOL improvement over stretching your hand around a keyboard. I actually originally used to play FF14 and other MMO's with M&K, but FF14 with it's constant and plentiful ability rotations starting to cause my joints to hurt and my carpal bone to burn, so I had no choice but to make the switch.
Other benefits is that it can make keeping track of combo's easier IMO, I find keeping track of Ninja's mudra' super easy on controller, much more so than on PC.
Now controller isn't perfect, there's still many issues, I'll go over many I've come across.
The big one is targeting, precise targeting with the controller is basically impossible, which can make healing with multi alliances or non party members extremely frustrating, though this is less of a problem for healers in standard 4 to 8 player activities. The problems with targeting can also affect you if you are required to quickly switch to a precise target in a group of hostiles, this is mostly a problem for me in PVP, where sniping low health players is important. Now one thing I will say, I find simple tab targeting easier on controller, it's just precise targeting that is bad.
Customizing your Hud and assigning abilities to your Hotbars is super annoying with a controller. seriously, if you have a mouse just use it for these, it's so much easier just to drag and drop.
Another big, and annoying issue I've come across is when pressing left Dpad up or down abilities whilst switching between your stacked Hotbars can cause you to target yourself. For example, if you press R2/L2 twice to access your secondary cross hotbar and press left Dpad down and quickly let go of the trigger you will use the ability on your original target but then end up targeting yourself, which is annoying asf and will happen to you constantly in higher level content.
Another issue with controller is that you are kind of limited to the slots assignable to buttons, yes you can activate the cursor mode with a controller, but in combat that isn't really an option. Whereas with M&K you can assign emotes, raid symbols, macros, etc to slots that you can just easily press with your mouse.
All in all, it's very viable for most content, but in more demanding situations and high level playing a M&K is kind of required.

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