diff --git a/src/__tests__/pointer/index.ts b/src/__tests__/pointer/index.ts
index c9a0bcdb..c8e73394 100644
--- a/src/__tests__/pointer/index.ts
+++ b/src/__tests__/pointer/index.ts
@@ -387,3 +387,28 @@ test('asynchronous pointer', async () => {
     mousemove - button=0; buttons=0; detail=0
   `)
 })
+
+test('apply modifiers from keyboardstate', async () => {
+  const {element, getEvents} = setup(`<input/>`)
+
+  element.focus()
+  let keyboardState = userEvent.keyboard('[ShiftLeft>]')
+  userEvent.pointer({keys: '[MouseLeft]', target: element}, {keyboardState})
+  keyboardState = userEvent.keyboard('[/ShiftLeft][ControlRight>]', {
+    keyboardState,
+  })
+  userEvent.pointer({keys: '[MouseLeft]', target: element}, {keyboardState})
+  keyboardState = userEvent.keyboard('[/ControlRight][AltLeft>]', {
+    keyboardState,
+  })
+  userEvent.pointer({keys: '[MouseLeft]', target: element}, {keyboardState})
+  keyboardState = userEvent.keyboard('[/AltLeft][MetaLeft>]', {keyboardState})
+  userEvent.pointer({keys: '[MouseLeft]', target: element}, {keyboardState})
+
+  expect(getEvents('click')).toEqual([
+    expect.objectContaining({shiftKey: true}),
+    expect.objectContaining({ctrlKey: true}),
+    expect.objectContaining({altKey: true}),
+    expect.objectContaining({metaKey: true}),
+  ])
+})
diff --git a/src/pointer/index.ts b/src/pointer/index.ts
index ee5cd753..75da2eeb 100644
--- a/src/pointer/index.ts
+++ b/src/pointer/index.ts
@@ -1,4 +1,5 @@
 import {getConfig as getDOMTestingLibraryConfig} from '@testing-library/dom'
+import {createKeyboardState} from '../keyboard'
 import {parseKeyDef} from './parseKeyDef'
 import {defaultKeyMap} from './keyMap'
 import {
@@ -6,33 +7,31 @@ import {
   PointerAction,
   PointerActionTarget,
 } from './pointerAction'
-import {pointerOptions, pointerState} from './types'
+import type {inputDeviceState, pointerOptions, pointerState} from './types'
 
 export function pointer(
   input: PointerInput,
-  options?: Partial<pointerOptions & {pointerState: pointerState; delay: 0}>,
+  options?: Partial<pointerOptions & {delay: 0} & inputDeviceState>,
 ): pointerState
 export function pointer(
   input: PointerInput,
-  options: Partial<
-    pointerOptions & {pointerState: pointerState; delay: number}
-  >,
+  options: Partial<pointerOptions & {delay: number} & inputDeviceState>,
 ): Promise<pointerState>
 export function pointer(
   input: PointerInput,
-  options: Partial<pointerOptions & {pointerState: pointerState}> = {},
+  options: Partial<pointerOptions & inputDeviceState> = {},
 ) {
-  const {promise, state} = pointerImplementationWrapper(input, options)
+  const {promise, pointerState} = pointerImplementationWrapper(input, options)
 
   if ((options.delay ?? 0) > 0) {
     return getDOMTestingLibraryConfig().asyncWrapper(() =>
-      promise.then(() => state),
+      promise.then(() => pointerState),
     )
   } else {
     // prevent users from dealing with UnhandledPromiseRejectionWarning in sync call
     promise.catch(console.error)
 
-    return state
+    return pointerState
   }
 }
 
@@ -44,10 +43,11 @@ type PointerInput = PointerActionInput | Array<PointerActionInput>
 
 export function pointerImplementationWrapper(
   input: PointerInput,
-  config: Partial<pointerOptions & {pointerState: pointerState}>,
+  config: Partial<pointerOptions & inputDeviceState>,
 ) {
   const {
-    pointerState: state = createPointerState(),
+    pointerState = createPointerState(),
+    keyboardState = createKeyboardState(),
     delay = 0,
     pointerMap = defaultKeyMap,
   } = config
@@ -73,8 +73,8 @@ export function pointerImplementationWrapper(
   })
 
   return {
-    promise: pointerAction(actions, options, state),
-    state,
+    promise: pointerAction(actions, options, {pointerState, keyboardState}),
+    pointerState,
   }
 }
 
diff --git a/src/pointer/pointerAction.ts b/src/pointer/pointerAction.ts
index 9af8dc5a..f4df5e4d 100644
--- a/src/pointer/pointerAction.ts
+++ b/src/pointer/pointerAction.ts
@@ -1,7 +1,7 @@
 import {Coords, wait} from '../utils'
 import {pointerMove, PointerMoveAction} from './pointerMove'
 import {pointerPress, PointerPressAction} from './pointerPress'
-import {pointerOptions, pointerState} from './types'
+import {inputDeviceState, pointerOptions, pointerState} from './types'
 
 export type PointerActionTarget = {
   target?: Element
@@ -17,7 +17,7 @@ export type PointerAction = PointerActionTarget &
 export async function pointerAction(
   actions: PointerAction[],
   options: pointerOptions,
-  state: pointerState,
+  state: inputDeviceState,
 ): Promise<unknown[]> {
   const ret: Array<Promise<void>> = []
 
@@ -32,10 +32,11 @@ export async function pointerAction(
           : action.keyDef.pointerType
         : 'mouse'
 
-    const target = action.target ?? getPrevTarget(pointerName, state)
+    const target =
+      action.target ?? getPrevTarget(pointerName, state.pointerState)
     const coords = completeCoords({
-      ...(pointerName in state.position
-        ? state.position[pointerName].coords
+      ...(pointerName in state.pointerState.position
+        ? state.pointerState.position[pointerName].coords
         : undefined),
       ...action.coords,
     })
@@ -55,7 +56,7 @@ export async function pointerAction(
     }
   }
 
-  delete state.activeClickCount
+  delete state.pointerState.activeClickCount
 
   return Promise.all(ret)
 }
diff --git a/src/pointer/pointerMove.ts b/src/pointer/pointerMove.ts
index 3ecd32f7..8a27539e 100644
--- a/src/pointer/pointerMove.ts
+++ b/src/pointer/pointerMove.ts
@@ -1,5 +1,5 @@
 import {Coords, firePointerEvent, isDescendantOrSelf} from '../utils'
-import {pointerState, PointerTarget} from './types'
+import {inputDeviceState, PointerTarget} from './types'
 
 export interface PointerMoveAction extends PointerTarget {
   pointerName?: string
@@ -7,9 +7,9 @@ export interface PointerMoveAction extends PointerTarget {
 
 export async function pointerMove(
   {pointerName = 'mouse', target, coords}: PointerMoveAction,
-  state: pointerState,
+  {pointerState, keyboardState}: inputDeviceState,
 ): Promise<void> {
-  if (!(pointerName in state.position)) {
+  if (!(pointerName in pointerState.position)) {
     throw new Error(
       `Trying to move pointer "${pointerName}" which does not exist.`,
     )
@@ -20,7 +20,7 @@ export async function pointerMove(
     pointerType,
     target: prevTarget,
     coords: prevCoords,
-  } = state.position[pointerName]
+  } = pointerState.position[pointerName]
 
   if (prevTarget && prevTarget !== target) {
     // Here we could probably calculate a few coords to a fake boundary(?)
@@ -42,7 +42,7 @@ export async function pointerMove(
   // Here we could probably calculate a few coords leading up to the final position
   fireMove(target, coords)
 
-  state.position[pointerName] = {pointerId, pointerType, target, coords}
+  pointerState.position[pointerName] = {pointerId, pointerType, target, coords}
 
   function fireMove(eventTarget: Element, eventCoords: Coords) {
     fire(eventTarget, 'pointermove', eventCoords)
@@ -71,9 +71,8 @@ export async function pointerMove(
 
   function fire(eventTarget: Element, type: string, eventCoords: Coords) {
     return firePointerEvent(eventTarget, type, {
-      buttons: state.pressed
-        .filter(p => p.keyDef.pointerType === pointerType)
-        .map(p => p.keyDef.button ?? 0),
+      pointerState,
+      keyboardState,
       coords: eventCoords,
       pointerId,
       pointerType,
diff --git a/src/pointer/pointerPress.ts b/src/pointer/pointerPress.ts
index d3421bec..5237522a 100644
--- a/src/pointer/pointerPress.ts
+++ b/src/pointer/pointerPress.ts
@@ -1,5 +1,10 @@
 import {Coords, firePointerEvent} from '../utils'
-import type {pointerKey, pointerState, PointerTarget} from './types'
+import type {
+  inputDeviceState,
+  pointerKey,
+  pointerState,
+  PointerTarget,
+} from './types'
 
 export interface PointerPressAction extends PointerTarget {
   keyDef: pointerKey
@@ -9,9 +14,9 @@ export interface PointerPressAction extends PointerTarget {
 
 export async function pointerPress(
   {keyDef, releasePrevious, releaseSelf, target, coords}: PointerPressAction,
-  state: pointerState,
+  state: inputDeviceState,
 ): Promise<void> {
-  const previous = state.pressed.find(p => p.keyDef === keyDef)
+  const previous = state.pointerState.pressed.find(p => p.keyDef === keyDef)
 
   const pointerName =
     keyDef.pointerType === 'touch' ? keyDef.name : keyDef.pointerType
@@ -39,12 +44,12 @@ function down(
   keyDef: pointerKey,
   target: Element,
   coords: Coords,
-  state: pointerState,
+  {pointerState, keyboardState}: inputDeviceState,
 ) {
   const {name, pointerType, button} = keyDef
-  const pointerId = pointerType === 'mouse' ? 1 : getNextPointerId(state)
+  const pointerId = pointerType === 'mouse' ? 1 : getNextPointerId(pointerState)
 
-  state.position[pointerName] = {
+  pointerState.position[pointerName] = {
     pointerId,
     pointerType,
     target,
@@ -54,7 +59,7 @@ function down(
   let isMultiTouch = false
   let isPrimary = true
   if (pointerType !== 'mouse') {
-    for (const obj of state.pressed) {
+    for (const obj of pointerState.pressed) {
       // TODO: test multi device input across browsers
       // istanbul ignore else
       if (obj.keyDef.pointerType === pointerType) {
@@ -65,11 +70,11 @@ function down(
     }
   }
 
-  if (state.activeClickCount?.[0] !== name) {
-    delete state.activeClickCount
+  if (pointerState.activeClickCount?.[0] !== name) {
+    delete pointerState.activeClickCount
   }
-  const clickCount = Number(state.activeClickCount?.[1] ?? 0) + 1
-  state.activeClickCount = [name, clickCount]
+  const clickCount = Number(pointerState.activeClickCount?.[1] ?? 0) + 1
+  pointerState.activeClickCount = [name, clickCount]
 
   const pressObj = {
     keyDef,
@@ -80,7 +85,7 @@ function down(
     isPrimary,
     clickCount,
   }
-  state.pressed.push(pressObj)
+  pointerState.pressed.push(pressObj)
 
   if (pointerType !== 'mouse') {
     fire('pointerover')
@@ -88,7 +93,7 @@ function down(
   }
   if (
     pointerType !== 'mouse' ||
-    !state.pressed.some(
+    !pointerState.pressed.some(
       p => p.keyDef !== keyDef && p.keyDef.pointerType === pointerType,
     )
   ) {
@@ -104,10 +109,9 @@ function down(
 
   function fire(type: string) {
     return firePointerEvent(target, type, {
+      pointerState,
+      keyboardState,
       button,
-      buttons: state.pressed
-        .filter(p => p.keyDef.pointerType === pointerType)
-        .map(p => p.keyDef.button ?? 0),
       clickCount,
       coords,
       isPrimary,
@@ -122,15 +126,15 @@ function up(
   {pointerType, button}: pointerKey,
   target: Element,
   coords: Coords,
-  state: pointerState,
+  {pointerState, keyboardState}: inputDeviceState,
   pressed: pointerState['pressed'][number],
 ) {
-  state.pressed = state.pressed.filter(p => p !== pressed)
+  pointerState.pressed = pointerState.pressed.filter(p => p !== pressed)
 
   const {isMultiTouch, isPrimary, pointerId, clickCount} = pressed
   let {unpreventedDefault} = pressed
 
-  state.position[pointerName] = {
+  pointerState.position[pointerName] = {
     pointerId,
     pointerType,
     target,
@@ -141,7 +145,8 @@ function up(
 
   if (
     pointerType !== 'mouse' ||
-    !state.pressed.filter(p => p.keyDef.pointerType === pointerType).length
+    !pointerState.pressed.filter(p => p.keyDef.pointerType === pointerType)
+      .length
   ) {
     fire('pointerup')
   }
@@ -169,10 +174,9 @@ function up(
 
   function fire(type: string) {
     return firePointerEvent(target, type, {
+      pointerState,
+      keyboardState,
       button,
-      buttons: state.pressed
-        .filter(p => p.keyDef.pointerType === pointerType)
-        .map(p => p.keyDef.button ?? 0),
       clickCount,
       coords,
       isPrimary,
diff --git a/src/pointer/types.ts b/src/pointer/types.ts
index ddf52725..70e336b7 100644
--- a/src/pointer/types.ts
+++ b/src/pointer/types.ts
@@ -1,3 +1,4 @@
+import {keyboardState} from 'keyboard/types'
 import {Coords, MouseButton} from '../utils'
 
 /**
@@ -61,3 +62,8 @@ export interface PointerTarget {
   target: Element
   coords: Coords
 }
+
+export interface inputDeviceState {
+  pointerState: pointerState
+  keyboardState: keyboardState
+}
diff --git a/src/setup.ts b/src/setup.ts
index 29d712b0..2d43c4ad 100644
--- a/src/setup.ts
+++ b/src/setup.ts
@@ -160,7 +160,7 @@ function _setup(
 
     // pointer needs typecasting because of the overloading
     pointer: ((...args: Parameters<typeof pointer>) => {
-      args[1] = {...pointerApiDefaults, ...args[1], pointerState}
+      args[1] = {...pointerApiDefaults, ...args[1], pointerState, keyboardState}
       const ret = pointer(...args) as pointerState | Promise<pointerState>
       if (ret instanceof Promise) {
         return ret.then(() => undefined)
diff --git a/src/utils/pointer/firePointerEvents.ts b/src/utils/pointer/firePointerEvents.ts
index 6c2f5c8a..69d367ba 100644
--- a/src/utils/pointer/firePointerEvents.ts
+++ b/src/utils/pointer/firePointerEvents.ts
@@ -1,4 +1,6 @@
 import {fireEvent} from '@testing-library/dom'
+import type {pointerState} from 'pointer/types'
+import type {keyboardState} from 'keyboard/types'
 import {FakeEventInit, FakeMouseEvent, FakePointerEvent} from './fakeEvent'
 import {getMouseButton, getMouseButtons, MouseButton} from './mouseButtons'
 
@@ -17,17 +19,19 @@ export function firePointerEvent(
   target: Element,
   type: string,
   {
+    pointerState,
+    keyboardState,
     pointerType,
     button,
-    buttons,
     coords,
     pointerId,
     isPrimary,
     clickCount,
   }: {
+    pointerState: pointerState
+    keyboardState: keyboardState
     pointerType?: 'mouse' | 'pen' | 'touch'
     button?: MouseButton
-    buttons: MouseButton[]
     coords: Coords
     pointerId?: number
     isPrimary?: boolean
@@ -41,6 +45,10 @@ export function firePointerEvent(
 
   let init: FakeEventInit = {
     ...coords,
+    altKey: keyboardState.modifiers.alt,
+    ctrlKey: keyboardState.modifiers.ctrl,
+    metaKey: keyboardState.modifiers.meta,
+    shiftKey: keyboardState.modifiers.shift,
   }
   if (Event === FakePointerEvent) {
     init = {...init, pointerId, pointerType}
@@ -52,7 +60,11 @@ export function firePointerEvent(
     ['mousedown', 'mouseup', 'pointerdown', 'pointerup', 'click'].includes(type)
   ) {
     init.button = getMouseButton(button ?? 0)
-    init.buttons = getMouseButtons(...buttons)
+    init.buttons = getMouseButtons(
+      ...pointerState.pressed
+        .filter(p => p.keyDef.pointerType === pointerType)
+        .map(p => p.keyDef.button ?? 0),
+    )
   }
   if (['mousedown', 'mouseup', 'click'].includes(type)) {
     init.detail = clickCount