"Damned if they do, damned if they don't" - Nobody asked for mount tilt, so that's a completely moot point.
This is a genuine accessibility issue. It is making people feel unwell.
Games blunder in this way all the time, I've had to stop playing games entirely because their camera or graphics function as motion sickness simulators.
TL;DR "I don't understand how motion sickness works, and because I don't have it, it's not real"