itch.io

oh, should have been more clear. I meant mouse buttons. 3 is middle click and 4 and 5 are the side buttons. M1/2/3 use a much different set of muscles than M4/5

I get various effects basically everywhere, but the biggest issue with M4/5, which I think would be similar with a gamepad is that the effort it takes to suppress the tremor feeds back and makes the tremor worse. I don't use my thumbs for game input much at all, now that I think about it.

my experience is personal, obviously, and I'm not sure how my condition overlaps with other tremor conditions, but I find m+k easier generally with what I play. Recently I've been using layouts that focus on moving accuracy sensitive presses to the keyboard so the mouse can just be used to point. As an example, in the game war thunder, before i developed TD I had machine guns mapped to mouse 1 and cannons to a side button. Now, pressing that side button while also trying to hold the mouse steady is extremely difficult, so I moved the fire keys to a position close to where I rest my hand on the keyboard.

Regarding your shaking mechanic, I personally have tardive dyskinesia, and a substantial amount of my energy goes towards not shaking, so the idea of gamifying a similar motion is not ideal to me. Also, I don't know about anyone else, but sometimes once I start a motion like that I can't stop.