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Ironically I think the fact that they open source their designs probably helps sales. My first reaction is to scoff at the $144 price tag but I know that if I go look at what it will take to build one myself I’m sure the $144 price tag will become much more reasonable.
Recently I started using Logitech Ergo M575 trackball mice and it has been total game changer, I can even play FPS games quite well with it. I highly recommend trackball for those with accessibility issues like me and certainly welcome more open hardware competitors in the space like Ploopy as customisation is crucial for accessibility.
Just using your thumb for all navigation seems like an RSI waiting to happen.
Also I don't know who in the last couple years decided it's a "Trackball Mouse" it's just a Trackball in the same way it's just a "Trackpad" and not a "Trackpad Mouse"