Honestly, I think auto clicking should be tolerated, depending on the scenario... For instance, in his current, glitched state, Foulberto Smasho literally takes ages to kill, even with grenades maxed out. Instead of sitting there, slowly eating away at his health, and watching as a miniscule amount of his health dies away, you could move on to something else. I'm a college student, studying for a law degree, and I can't focus on the game, as well as studies, at the same time. Auto clickers really help me, because I can put more time into my studies, which can, at times, take up a full day.
Autoclickers can't really be used for cheating in TLOPO. Each weapon in the game requires timed clicks, or even charges, to be used. All the autoclicker is doing is simulating these clicks. If the player doesn't want to spend their time button mashing their left mouse click, or the left control key, that's their choice, because the long term effects could literally leave your finger useless. Personally, even though I have a key, playing for two hours a day, spamming one key, has already started to hurt my finger, and it's becoming quite intolerable.
My point is, you can only accuse someone of cheating when it's giving them a certain advantage. It's not like a god mode script, or something that speeds up your voodoo regeneration, essentially letting you use the most powerful hexes on your doll an unlimited amount of times. Even glitching through walls to get to Darkheart is essentially cheating, instead of just taking the normal route through Beckett's Quarry, and El Sudoron.
Cheating is something that gives someone an advantage. An autoclicker is not advantageous in any way possible, since it's simple enough for anyone to use. It also allows someone to be productive in two places at once.
I see the moral argument here, since a lot of people have worked hard to get where they are, wasting at their time in game, to level everything manually. But, even with a key, there are those who simply won't be able to function in game without the use of these autoclickers, so it's use is justified for them. Either way, I don't agree with not allowing autoclickers. It would certainly render my ability to play the game rather useless.