I have a programmable keyboard and yes you can set up a macro in it and they would never know it is not you pressing the keys. Just be at the keyboard as you use it.
Remember “IDKFA” or “IDDQD”? There’s a reason those were called “cheat codes.” Games have rules and breaking or somehow bypassing them is called cheating. Cheating in a non-competitive single-player offline game really doesn’t have many consequences, but it’s cheating nonetheless.
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You always play Diablo 3 online with your PC. There is NO means to play offline on PC. It is a game that requires a live connection to their server to play.
Yes, macros that automate gameplay can get you banned. The rule is one keypress = one in-game action.
You are free to change keybinds though to mouse buttons that are easier for your hands. What you can’t do is chain together abilities so that if you press “1” it casts abilities on 1, 2, and 3.
Have they banned people for it. Yes. Mostly in WoW for using macros to automate ability rotations.
Can they do it in D3. If they want. You play on their server and have to abide by the rules you agreed to.
If you want to provide specific feedback to the Blizzard team regarding accessibility for those with specific needs, they do have an email you can send a message to. They can’t give you permission to circumvent the rules, but at least your feedback can go to them to pass to Devs regarding why you find the current game controls a problem.
You might be surprised. In Diablo 2 lately I am seeing forum reports of disabled keys that were linked to rule violations. This is on the heels of a new Ladder reset. In WoW there was just a banwave for all sorts of things. Botting, account sharing, advertising in group finder, etc.
I was shocked to log in today and check in-game mail to find an email from the Hacks team thanking me for the report and telling me it was one that led to action. I am sure the mail is somewhat automated, but it feels nice to be right. I reported a druid skinning bot that was standing in the same place for at least 30 mins using the same spell rotation over and over and skinning. I was leveling fishing so took the time to watch…and report. I dislike bots.
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If the program lets you play while watching tv…away from your computer…you are running a bot.
True. However, Blizzard does not allow any automation of gameplay. Not even a skill rotation that would normally require several button presses. Not even in WoW which has an in-game macro maker. If a person can’t do the actions within the in-game tools, they should not do them with exterior software.
So, it does not have to be a full “bot” to get someone suspended or banned.
So, the other question is - WILL they ban in D3 for it? That we don’t know. They could if they wanted.
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took me a while to read the tos, but yep there is one exception for this and your it!
Agreed. My point was that what he was asking for was really closer to a bit than even the lesser moral offense of a macro. Ita one thing for key help, and another to have the game play while you are afk.
I hear what you are saying and I respect that.
However, in order for them to do what you request they either have to make an exception to the rule or alter the TOS to include people with a form of disability.
If your hands are impaired you definitely have a disadvantage if you choose to play for any length of time.
My suggestion as you are being up front about it is to write to support. The worst thing they can say is no which means you are no worse off than you are now, but they may say yes. I do not think they will change a one-size-fits-all set of rules, but it never hurts to ask. 
I promise that won’t help. Tickets are taking 3-4 days right now with the WoW expansion just started and such. Blizzard NEVER gives permission to use third party software they don’t control. Never. They don’t make exceptions. If they did, they would be inundated with requests as well as appeals for botting/cheating that try to use that as an excuse.
There IS the Accessability email I gave the OP. That won’t grant permission to anyone, but it may help long term improve game options that are more friendly to adaptive devices. We already got Controller support for D4 on PC which I hear was driven in part by those requests.
The OP is far better off looking up accessibility options for controllers (not supported for D3 but can be made to work with software) or mouse button configurations they might adapt that ease hand strain. This is applicable to all their computer applications. There are some fantastic things out there now!
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Thanks for the lesson and more detailed information. But I know you get I was trying to be optimistic instead of negative. Anyone can do the latter and I saw what the issue was and was being empathetic. 
I get that, but I try not to give false hope about what Blizzard will do in a circumstance like that. Ticketing would be a waste of time for both the person and the GM.
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Another thing to consider is something like this…
https://www.amazon.co.uk/DecentGadget%C2%AE-Control-Keyboard-Action-Fu%C3%9Fpedal/dp/B00O055QB4/
…and you can bind keyboard presses to the foot pedals, if tapping your foot / feet is easier than fine hand control.
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Macro’s will get you kicked out of the game, the game is monitored for such things. The only thing that I know of automated play that it acceptable is th “Num Lock Trick”
I’ll just weigh in by seconding what others have said. I don’t have the full text of Blizzard ToS committed to memory, but what I remember of it seems fiercely defensive toward any kind of automation; no matter how innocently intended. Strictly speaking, even as much as using a program to interpret gamepad input as keyboard strokes could get you banned, even though it’s only being used to emulate controller support for a PC game.
The answer is that they (Blizzard) simply do not want any external software used on their games, at any time, for any reason. At least, that was my interpretation of it. This may be the reason they’re so coy about giving specific answers about specific programs: They’re all off-limits, so to accept one would be to invite questions about others, like MissCheetah suggested.
Believe me: I feel for you. After spending a good chunk of my adult life on Diablo II (among other games), my mouse arm doesn’t have the fine control it used to. It’s one of the reasons I switched to console. Unfortunately, there doesn’t seem to be an adequate support system for people in that position yet.
Pretty much comes to this: If you have to ask, the answer is probably no.
There are also builds that are “lazy” in the sense that you don’t have to mash a lot of buttons. Many are pet builds, but even others where you basically only have to hold down one button for the most part, like the Tempest Rush monk build, or the WW barb.
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Also yes. I’m kind of on the fence here, because I dislike “boring” builds that don’t require a lot of interaction, but I also dislike “juggly” or “fiddly” builds which require constant thumb-fu to get it all working right.
For a low-complexity build, Timberwolf is right to suggest Tempest Rush Monk. I would also suggest Energy Twister Wizards. My LoD Arcane Twister Wizard cleared 125 the other day, and I’m confident it can do more. Three buffs, one mobility skill, one attack skill. Doesn’t get much simpler.
Um no, I wasn’t clear, sorry. I multitask. Old movies, which I have seen a thousand times and don’t require full attention, keep me ‘company’ while I play. I would never use a bot.
Corporations don’t care. Online only is their business model and that’s it. You might get some sympathy from employees but that’s about all. There aren’t enough people like you to justify making any changes. It’s harsh but it’s true.
I have 2 KID devices. One empties the dishwasher, the other one fills it up.
But it is a hassle sometimes 
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‘People like me’? You mean, people who have money to spend and are happy to spend some of it on games, but require that we be able to actually PLAY them?