It’s really that hard. Unplayable.

I only wish that the Sega Dreamcast Twin Sticks weren’t so damn expensive. You could almost buy some used HAPP or Sanwa (for that authentic Japanese feel) 8 way trigger sticks and knock up a control panel yourself for the 80-100 quid that these are going for on ebay.

Another option maybe to graft some hand grip assemblies on to a pair of Ultimarc UltraStic 360s and run with a map via NullDC.

It’s a fantastic looking game, especially when run through the VGA box (well cable in my case).