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I main support and I am used to holding alt and pressing a spell key to self cast the spell. I can't seem to not do the same thing for items in the heat of the moment but it never works and so I fail the crucible cleanse or something as a result. I couldnt find any way to bind a button to self cast items but if I am overlooking something then please inform me.
Otherwise, I propose a simple self cast item 1-6 binding option added to the key bindings list so I can program alt 1-6 to self cast my item activations. If its really not possible atm then I can't imagine that I'm the only one suffering with this problem.