Sure true. When we make it really long. But that means unplayable 
No, this is unplayable.
Also I think targetting also drives the āAPMā of wow up, when I set focus, aim skillshots, or mouseover things. Itās just the whole package on top of a 80 apm dmg rotation without any break for 40 min straight. Thatās just unhealthy for my joints and hand health. I canāt really keep playing the game longer on the same level like this, if I donāt wanna get chronic inflammation.
Set focus is 1 time per pack. You make it sound like you have to switch target for an interrupt/stun every second. And moving, the secret is you can keep holding the button for a couple of more yards.
What is unplayable? The amount of buttons you need to press per second or the amount of different buttons you try to reach? Because that are very much different things.
People talk about joint pain and stuff. I move with my mouse. I target with my mouse. I take a healthpot with my mouse. I move the camera with my mouse. All this stuff is OFF the GCD.
I press abilities with my other hand. I can not give the argument my wrists are hurting because i have to move. It is literally a different wrist/hand. That is why my first post had the argument i have 2 hands. When i had to do all you mention with 1 hand, sure you got a point. But i have 2.
I think itās mainly the APM, and the button bloat feels way worse, because the game is so fast, but some specs also have a crazy amount of buttons too, and itās hard to track so many CDs, and debuffs in PvP. Like I love playing shaman for example, and I like having the huge amount of utility/totems, but when I play against shaman I feel overwhelmed by all the things to consider before comitting my CDs against this class. Hope that makes sense. Additionally I do think itās also kind of āakwardā and annoying to have so many keybinds too for me.
I genuinely believe that the gamedeveloppers of wow are not really playing their game above LFR or random battlegrounds
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Tracking buffs/debuffs/timers and buttonbloat are a whole different topic than joint/wrist pain because of pressing at lot of abilities.
I noticed in PvP earlier this year that my wrist and a part of my mouse hand started acting up, and the pain took about 6 weeks to subside. Iām pretty sure itās just my old body starting to fall apart 
but it made me realise how much strain playing can be when itās more intense and busy. So Iām not surprised other players may struggle with this, especially if they engage in content which demands full on performance pretty much non stop.
Be careful with yourself 
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I want to say that itās the whole package thatās messed up in wow. It causes physical joint inflammation, it is bloated with too many abilities, game requires too many keybinds, itās too overwhelming to track the huge arsenal of cooldowns of other people. Itās just too much I think, and they should try to add complexity/skill ceiling in other less lazy ways instead of just cluttering the game without good thoughts.
To me, wow feels like the designers just bombarded the game with every ability they can think of and made it fast-paced by lowering gcd. I donāt think they actually thought about it thoroughly.
Both, together. It doesnāt really matter if itās one more than the other or both in equal measure - what ends up happening is it just plain hurts.
I really donāt mean unplayable in some metaphorical sense. I mean it literally. Like I literally have to stop playing because my hand feels like itās cramping up and itās very uncomfortable to continue playing.
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Are you playing with 1 hand? Geniune question.
Stupid question.
Of course not.
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What if I did? Wanna make an ableist remark against onehanded players?
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Everything people do in the game is summed up, but we got 2 hands. Are both wrists hurting?
I have nothing against people with 1 hand. But at least the comment i would have understand.
Itās not the wrist - itās the lumbrical muscles on all four digits. Typically the ring finger and index finger get it worst.
The mouse is feeling better, but if I bind frequently used spells to the mouse wheel my middle finger can get into trouble after 2-3 hours of M+.
Iāve found that swapping hands can sometimes alleviate it due to the strain being on different fingers. Yes, I am able to play WoW using PLĆĆ to move and the mouse in the left hand. I donāt do it that much any more though. But likeā¦ nobody does this except me. I even wrote my own addon for it - saves my keybinds to profiles so I can swap seamlessly between left and right layouts.
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I think your problem is more physical than related to any APM/GCD. You played Lol at High level before, can you still do it or you would feel the same pain?
Iām 30+ & I felt this few years ago. It wasnāt Wow as I was on break, but pretty sure it would have been the same.
That isnāt a gcd problem. That is coming from stressed hovering positions while not pressing buttons. Or for example no underarm and wrist supports. When i am not going to sit normal my back is going to kill me while playing the game. Canāt blame it on the game though.
Why does it go away in other games where I press less buttons then? Why doesnāt it happen at work where I can be typing for hours upon hours at a time? Why can I play Classic the whole day and it doesnāt happen? Why does not being in combat alleviate the issue?
Iām using a G915 TKL. Iāve tried both tilted and flat positions to try to alleviate the issue, but itās no use. Iāve also used taller mechanical keyboards - same problem. Only in WoW and very long sessions of SC2.
Iāll tell you about a keyboard that does give me this issue though: Appleās Magic Keyboard. Horrible thing.
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I did a month ago and I had no issues at all. It felt very comfy actually. I think another thing in LoL is that you do a lot of tiny sprints, whereas in wow you do a 30-40 min non-stop marathon. The APM in LoL is also almost exclusively from right clicks on your mouse. Also, as ishayo said, if you have 30-50 keybinds your hand moves way more for every action as opposed to games, where you have higher apm just from mouse clicks.
I think Blizzard thinks in metrics like a lot of people here, and doesnāt play the game themselves
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