Patched images are compatible with both PS2 emulators and real PS2 hardware and have been tested with PCSX2, OPL, ESR discs and the PS3's PS2 Classics emulator. Not all games will work but, based on analysis, compatibility should be better than 95%. Patches can provide widescreen support as well as controller remapping
PS2 Patch Engine is a tool designed to embed both static (ELF) and run-time (memory) patches directly into PS2 disc images.