I keep getting this popup every time I reopen my Mac.

I’ve configured all the correct settings and even restarted, but I keep getting a recurring message about permissions being set. The only way to stop it is by force-quitting BTT and reopening it.

Any ideas on how to fix this?

"Accessibility API Permissions" is the error.

I came here to find a solution for this as well. Happens on both of my Macs. Both running Sequoia, which was actually working fine for a couple of months. I've successfully used BTT for years now. Accessibility permissions on - I've even tried resetting all acceessibility permissions on one Mac and it only resolved the issue for a couple of days. Anyone solved this?