Old school and awesome gear.
picture an Italian grandmother in your mind, wearing an apron and holding a large wooden spoon, carried in the manner that one might carry a billy club. Advancing toward you menacingly, like she caught you sneaking cookies.
Notice how big her forearm muscles are?
These machines are one of the reasons Italian grandmas have legendary bludgeoning skill with wooden kitchen implements. Manual pasta presses build your forearms UP, no lie. Tires you out. You will switch arms.
Is this good? I think so. In the post rational lives we lead, you take your exercise wherever you can find it. And homemade pasta is awesome. It takes a while to get good at mixing the dough properly but these machines make fast work out of rolling the dough out evenly.
Now get out of the kitchen before Nana gets you with that spoon. Trust me. It stings.