MODKeys+Mousebutton4 not working?

I believe this used to work for macros

MODKeys+Mousebutton4

It seems to be broken or removed from the game?

Unit Frames eat mouse clicks. You’ll need Clique or similar addon.

Are you saying my ELVUI is eating the Bind? of MOD:SHIFT and MB4?

I’m saying all unit frames eat them, regardless of unit frame addons.

In the morning I will try it with everything disabled

That won’t help. Install https://www.curseforge.com/wow/addons/clique
Set it up through the global binds.

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