No, the game controls cannot be customized. I've copied the controls for the game below. It's one of the best games I've ever played-- it is even better when you play it with other people (the game is quite funny). You need to be able to drive a car and use a fire extinguisher in different parts of the game. Hope you can play it!
From the readme file (lost some formating):
Keyboard Commands: Movement
Move forward Numpad-8
Move backwards Numpad-2
Turn right Numpad-6
Turn left Numpad-4
Run Shift-Numpad-8
You can also use the cursor (arrow) keys on your keyboard to move around in the game.
If you’re in camera-relative mode (see “Movement Modes” below), you can also use the 1-3-7-9 keys to move diagonally.
Keyboard Commands: Actions
Keyboard Keyboard
Numpad Mnemonic Left-hand
Examine item 5 E S
Pick up item, put item away + P A
Use item/ Talk to character Enter U (or Enter) W
Inventory 0 (Ins) I D
- Scroll through inventory 4 & 6
- Put item in hand Enter Enter
Look at next nearby item Numpad Delete
Pause Pause
Skip dialog line Numpad Delete or Period
Skip cutscenes ESC
Quit game Alt-X or Alt-Q
Enable/Disable joystick/gamepad Ctrl-J
Text/Voice mode toggle Ctrl-T
Gamma Control Ctrl-B
Movement mode toggle:
"character-relative"/ "camera-relative" Ctrl-M
GamePad/Joystick Commands
Examine item: Controller Button 1
Use Item/ Talk to character Controller Button 2
Pick Up item/ Put item away Controller Button 3
Inventory Controller Button 4
Run Controller Button 5 & 8
Skip cutscenes Controller Button 6
Skip dialog line Controller Button 7
Scroll through dialog choices Joystick POV hat (up/down)
Scroll through items in inventory Joystick POV hat (left/right)
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