i have dedicated buttons next to my 4way stick, but i am in the process of building a new panel, and I am no longer going to have these buttons. all of the 4way games that I play are 1 player, or 2 player alternating..so i have mame configured to use player 1 or player 2 buttons for these games, so you can use either hand, without any extra buttons. this is also the case for spinner and trackball games