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If you can hold the control key and click to get a right click, is there another modifier key you can hold to get a middle mouse button click. I don't think there is, so is there a way to create one?

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What mouse do you use? Or do you have a trackpad? – slhck Apr 26 '12 at 6:30
I use Wacom or a trackpad in my MBP. – Kieran May 3 '12 at 21:19

One option would be to use KeyRemap4MacBook:

You can add custom settings in private.xml. See the source for the key and button constants and predefined settings.

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Now called Karabiner. ( – Mark Ribau Jul 30 '14 at 22:05

Command key+click will normally act as a middle mouse click. For example, Command+click a link in a web browser like Safari will act like a middle mouse click.

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Command+Click will probably serve for most people, however it is not a "true middle click", in the sense that the app doesn't appear to be sent a middle click. I have used Karabiner to have fn+Click act as middle click as well as BetterTouchTool to get four finger tap act as middle click. (I could not get BTT to play nice with three finger drag and taps.) – Mark Ribau Jul 30 '14 at 22:04

I often use MagicPrefs when I need to change anything with my mice for Mac OS X.

It allows to you set all sorts of bindings for the Magic Mouse, Magic Track Pad, or Mac Book Track Pad.

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I used Option + Command + click (note: this was using the Acme editor so there could have been some internal mapping)

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