I bought it for the Euro Truck Simulator (ETS2) and it works perfectly. Of course, typical truck control options such as retarder, turn signals etc. only work to a limited extent. I am trying to find a solution with an Elgato Stream Deck.
Important note: Due to its construction, the steering wheel is relatively loud (force feedback). There are quieter alternatives.

Normally yes, in the worst case you have to configure it yourself.