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Highly recommended for all Dreamcast's users
Basing on my experience, I can tell that hooking your console from 90' to "standard" monitor is usually requiring some additional stuff (at least video converter, those things are not cheap). Fortunately, with this cable you can do such thing with your Dreamcast - just remember about some adapter for Audio cables, since audio signal is sent separately through them.
Of course not all games can cooperate with VGA cable (important thing for users of such applications as Utopia - you can't use this cable with them, with exception of Code Breaker), but since majority of Dreamcast games can do it - it's definitelly worth to play in them with this cable.
I'm giving 5 stars, because mentioned limits of using this cable are not caused by cable itself, but rather due to "unofficial" homebrew software and limitations of some games. And other than that - I totally recommend it, no matter if you wish to play on TV or monitor.