Actually they work very well. The PC controls are clunky on any RPG I've tried. On in the case of Diablo agony inducing.
I've heard it said so many times that Oblivion was developed with the Xbox dev kit and ported to PC and PS that I stopped counting. And a great many multi-platform games in the last 4-5 years have been developed that way. For me playing Fallout 3 on the PC I had to open pip boy every time I wanted to switch weapons. Mostly because I can't for the life of me figure out the quick switch command.
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