The US version of the ROM (based on the regular UK 1.20 ROM) has differences for the American TV standard. These changes make almost all existing software entirely incompatible. Any games or software that writes directly to the screen will fail due to the different screen sizes requiring different memory addresses. Even 'legal' basic programs will likely fail due to the differing vertical text and graphics resolution. The MODE independent graphics coordinate system used across all graphics MODEs in the UK MOS is 1280 x 1024, but in this US version it is 1280 x 800. If these issues were to be overcome then the screen refreshes at 60Hz instead of PAL's 50Hz, which also would have affected the speed of many games.

Changes from MOS 1.20 to 1.20us: