PointerFocus is described as 'Allows you to highlight the cursor using either the toolbar or hotkeys. Options include spotlight, highlight, drawing on the screen, magnifier or show keystrokes'. There are nine alternatives to PointerFocus for Windows, Linux and Mac. The best alternative is SpotOnTheMouse, which is free. Other great apps like PointerFocus are Key'n'Stroke (Free, Open Source), Mouseposé (Paid), Pen Attention (Free) and PainterMouse (Free Personal).
SpotOnTheMouse is a mouse pointer and keyboard action visualization software. It makes mouse clicks visible ,it improves the perceptibility of the mouse pointer & it shows the special keys and combinations of keys pressed on the keyboard.
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SpotOnTheMouse vs PointerFocus opinions
Most users think SpotOnTheMouse is a great alternative to PointerFocus.
pointerfocus has not only highlight function. but spotonthemouse has only highlight function with worse graphic.
so it can't be alternative.
Mouseposé is the indispensible mouse pointer highlighting tool (aka "virtual laserpointer") for everyone doing demos at tradeshows, presentations and trainings, or those individuals with huge and high resolution displays.
A Little utility that implements a global key logger which displays all shortcuts & keystrokes as you type on screen and with a semi-transparent overlay. This makes it very easy to show any shortcuts you use if you for example record a software demo.
Kokomite is a software that draws semi-transparent circles (or rings) around the mouse cursor to make the focus easier to understand in a presentation. This semi-transparent circle always chases the mouse cursor.