It’s almost unbelievable; the shape of both the Combat Stick and Pro Throttle fit the shape of your hand quite nicely. Each button is well reachable so you won’t run into any wrist straining, although, people with small or stubby hands will be at a disadvantage. Both controllers require medium to large hands. On the plus side, each button is uniquely shaped for easy memorization. With a controller with this many functions, you will need help remembering all of them.