I don't know what model your monitor is, but I checked the manual for an MTC9110 and it says the monitor accepts signal voltages from 1-5V, meaning that a video amp (which boosts the signal voltage to 5V) isn't needed. But if your particular monitor won't accept a signal voltage of 1V, you'll have to get a video amp. Chances are that you won't have a perfect/nice picture after hooking it up to the ArcadeVGA, but don't let that discourage you. Make sure you remove any ATI drivers on your computer before installing the drivers for the ArcadeVGA. Also, before hooking the computer up to the monitor make sure you have your resolution set to what your arcade monitor can handle (640x480 works well on my 19" monitors). It's likely you'll have adjust the contrast, brightness, V-size, H-size, V-position, and H-position pots on the monitor once you get the display up.