I’ve encountered it in the wild a bit. Most of the time it’s regular people parroting the sweatys but it’s still ableist. Even my lovely but terrible gamer girlfriend told me I shouldn’t use combat macros and then I lovingly told her she sucks and that some macros could help her. She often forgets to use ogcd spells and I weaved a couple in her regular filler spell. Her dummy damage actually went up. I’m all for doing stuff that help people regardless of the reason.

I don’t even think anyone would ever notice in a regular play session. Which makes it weirder they get all aggro about it online.