Same thing for personal computers up to (more or less) the Amiga. If you wanted to code it, the access was there.
Now the access is much harder unless you can get a knob (like the Griffin) that puts out data in a form that a USB bus or a TCP connection can understand. and even then, the cost of everything else has fallen so much that customization seems prohibitive. Are you willing to spend the time coding the interface between your game controller and every piece of software you own?
This may be changing again — the cost of smart knobs, sliders and buttons is probably already down to a few bucks. No all we need is a whizbang interface so that you could actually use them. I wonder what the type would look like in CLIM…
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