The USB Elgato Capture Device cannot work with the Sega Mega Drive/Genesis. Clone consoles will also not work with the device. While I'm not 100% sure why it doesn't work where as other consoles do, it could be the aspect ratio that the Mega Drive/Genesis outputs. It's slightly different than the Super Nintendo and other consoles. I got one of these for Christmas a few years ago so I could live stream and play my Genesis so I was disappointed that it doesn't work with the console. The DigitNow, another video capture device will work but you can only record footage not livestream from it.
Elgato Capture Device is incompatible with the Sega Mega Drive
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