I use a X-Key's foot pedal controller. It was spendy but totally worth it.
It has 3 pedals. Middle and largest one is where I bind all my main DPS macros to. I can just basically mash my foot constantly during any fight, instead of mashing my "1" key or whatever like a lot of people do. Frees up my hands.
The other two pedals I use as "alternate" dps pedals. One is always for AOE (triggers consecrate, arcane explosion, holy nova) and the other is a by-fight special button (i.e. in those fights where my healer might get iceblocked or something, switch my shaman to spamming chain heals on the group for a bit).
I'd be lost without the pedal.
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