WoW doesn't "have" to use the mouse, its just easier.
You can move with the arrow keys, you can target with the tab key. Nothing that can be done with the mouse that cant be done with the keyboard.
I set it up having the control pad do the movement with WASD keys, and the joystick pad moves the mouse and x/y buttons to left/right-click. I can still click and hold to allow camera movement but in the case of using a joystick its best to have the camera set to auto.
You are correct about the keybindings though, you'd need elaborate street-fighter-like key commands to do everything. I couldn't imagine doing anything but farming herbs/ore with it.
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