@WatchMeShine Sorry to hear about your issues, I know all disabilities can differ from one another. I do have friends though who use blow tubes to play the game due to having no hands or arms 1 of them has them but unable to use them.
The issue really boils down to people used them for bad things. Despite the good they bring to people bad folks ruin good things. AHK, among all the others in the hackers word typically is going to be doing things it should not though. Most programmers don't run ahk files on startup let alone after start up unless working on a specific thing. When we do have stuff we have to run things like that for we use our working machine and not our gaming machine. Stuff like that for any game can flag systems therefore most use different computers one with their scripts for work and one they game with.
I assume though if someone is truly running ahk and stuff like it 90% of the time its up to no good. That's just me though but other games and companies also agree they are used for bad far more than the good.
Im sure there may be something out there that can fill that gap that would be allowed. Foot pedals, Blow tubes, among thousands of other options.