The game needs to support VGA, but nearly all do. If you get a VGA box with S-video output, you can play all games by using S-video for the few that won't work.
The game has to support VGA. With a cable swap trick some games support VGA unofficially (NFL Blitz), or will init the display enough that you can play if your monitor can do some pretty extreme image adjustments (JoJo's Bizarre Adventure).
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