i dont know for decades? ive been playing MMOs since 1997 UO. and never have i used ctrl as a keybind. W,S,A,D Q,E for movement. R,F,V for cooldowns 123456 for skills. Then shift RFV for long term buffs. shift 123456 for additional combat stuff. thats pretty much served me well for years. this is probably why i dont understand such a big deal of needing ctrl. Ctrl has always been an akward place to be used fast in combat, so never wanted to use it.
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