I think I palm grip, but I do it weird.&nbsp; I generally put the heel of my palm against the edge of my desk, so the weight of my arm is on the desk and not the mouse.&nbsp; I then use whatever wrist movement I still have to move the mouse - my sensitivity is pretty high.&nbsp; I probably only have 2&quot; of horizontal movement, but that&#039;s more than enough.&nbsp; I also never get arm fatigue, even though sometimes my ring &amp; pinky fingers go numb.&nbsp; A mousepad slightly overhanging the edge of my desk helped with the numbness.<br /><br />Also &quot;claw grip&quot; is for freaks.<br /><br />EDIT ===<br /><br />After thinking about it a while, I probably fingertip.&nbsp; The palm of my hand rarely touches the mouse, as I usually need my fingers to either aim precisely, or move forward/backward (mouselooking).&nbsp; Sometimes when I RJ I lift my hand off my desk so I can pull the mouse back.<br /><br />Claw grip is still for freaks though.