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It seems like I have heard of a few lefties who might remap controls like that, but I would have absolutely NO ABILITY to use a controller set up like that.
I know there are still a few southpaws out there, who use left-handed mice. I tried that once, probably back in the early 1990s, back when all I had to do was remap the two buttons that the mouse had, and try using it with my left hand. I couldn’t ever do it.
I throw objects with my left hand AND catch objects with my left hand (I was a disaster on the baseball field), I tie shoelace and necktie knots backwards/mirrored from a right-hander’s perspective, I bowl a bowling ball with my left hand, I use a pool cue with the butt of the stick in my left hand, I aim weapons with my left hand on the trigger, and I write/draw with my left hand…but I somehow managed to get locked into using a mouse in my right hand, instantly.
I guess that’s just as well, because I don’t even know what a user who mouses with the left hand does, instead of WASD. The numpad, or something? The arrow keys? Still use WASD, but with the keyboard shoved over to the right-hand side of the desk? The mind boggles.
But yeah, VR stuff is a pain, because it involves grabbing and shooting. Grabbing and shooting are just fully left-handed things, for me.
I’ve spent enough time mousing right that trying to switch would be a major pain, plus I’ve been using my greater dexterity with various interfaces over the years, and I really can’t see trying to use an Azeron in my off hand.