Someone did Chaos Cadence with the Harbinger set. Was pretty strong.
On topic:
Vitality: Vitality Phantasmal Blades. Dreeg’s Evil Eye focusing on Vile Eruption.
Aether: Panetti’s or Callidor’s Tempest. Albrecht’s Aether Ray can’t be assigned to LMB I think but it’s also an option. Obsidian Tremors via Obsidian Juggernaut and Chaos to Aether conversion.
Chaos: Obsidian Tremors via Obsidian Juggernaut. Fire Strike via Brimstone and Fire to Chaos conversion. Aether Ray with the transmuter is also an option here again. Could also try BWC with Demon Fire and Element to Chaos conversion I guess?
Pierce: Pierce Cadence with Valdun’s Treachery or Dermapteran Slicers (Sword and Board or Dual Wield). Shadow Strike with Execution/Amarasta’s Quick Cut.
My lightning caster Druid still using Empowered Lightning Nova bound to LMB. He might need some updating but the nova was obliterating everything near him a few patches ago and the cast rate was high enough it kept the devotion procs rolling non-stop.