@magnetar said:

It can..using it for Phoenix Flight Sim with a usb adaptor

If it acts like a normal joystick and can be recognized by windows as a standard joystick, you should be able to get it to work.

Take a look at this reference card and it will give you the controller commands for the axis you can use.

http://www.scribd.com/doc/10966960/Sketchy-Physics-Controller

Good Luck!