My Mame cab has flipper buttons and nudge buttons on the sides of the control panel for use with VP.
Many a pinball player that has visited has been surprised by how 'real' that makes some of the VP games 'feel'

Again I state that I understand it isn't the real thing but this does add a better dimension to VP rather than whacking a keyboard key to raise a flipper.

So I can only assume that some of the current VP tables with much better graphics than my old PC is producing , laid out on a nice new 42' monitor in a pinball style cab MIGHT feel 'OK'