Etymology

button pusher

Today it means: Someone who pushes someone else's buttons: someone who goads, annoys, provokes, etc. Full definition →

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The story

In the provoker sense, by a metaphor in which the recipient's emotions can be manipulated on command as if prompted by literal control buttons. Thus also tangentially comparable with a puppet master who is pulling the strings to manipulate puppets.

Etymology from Wiktionary, CC BY-SA 4.0.