The thing to consider with a 49-way VS other sticks is that they feel much closer to the original WICO leaf sticks when in use, due to the rubber grommet centering method. This unfortunately doesn't apply to the stock sticks being shipped from HAPP, as the grommet is different than the original Midway part. Apparently, the design they produced was based on the specific needs of a large customer with different requirements than ours, and it was set in stone. So the grommets need to be replaced, and that's one of things we did. The other changed were a beefy stainless shaft with the ability to accept a special version of the Hand Candy balltops, and a custom actuator part.
These changes, coupled with the range of operation modes, and the fact that they work extremely well with a large variety of games, except where true analog function is absolutely required (not that many), make them an excellent "all around" solution. For some, just the ability to play Sinistar in a way which is as close as possible to the original machine, makes them worth the price of admission.
I use them on my primary machine, and I don't think that I could be convinced to use any other stick after having been spoiled by them.