I have a Sega VCD card and it works great. I haven't had any problems with it and the picture quality is quite good. If you have a lot of VCDs or make your own it's definitely worth it. BTW my Saturns are NTSC, works in both my US(need a cart) and Japanese Saturns.
I think original sega carts have a country lockout, but I am not sure. as for burning your own, vcds have no copy protection, so they will work, with or without mod.
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