I 100% agree with Grauw and SD_Snatcher.
Louthrax, I do not see any discouraging comments here. Just wishes and feedbacks.
Can you make it possible to select menu options at startup with the joystick or and the cursor keys?
My comment was not aimed at you Gdx (I started typing my post before seeing yours), but to "direct" reactions in general, where English can also be a barrier here (not everybody wants or can start a bug report with "May I politely and kindly suggest you to fix this or that" 
).
I'm not expert enough to contribute but since I'm intererested nonetheless, I'm assuming Victor had transplanted MGSDRV inside the game and used Koichiro's MGS version of USAS soundtrack? How cool is it? 
I only knew some douijin game used MGSDRV for bgm based on GIGAMIX DM-SYSTEM 2 in particular I remember Morning Star. How Victor did it?
Congrats & thanks Victor! These out-of-the-blue surprises are awesome
Agreeing with what is said before. + In this case, let alone the people addressing the missing music pitch change, which is a valid critique, it seems it's just 1 person that seems demanding. He does come over as a bit rude indeed, as he's not even congratulating or thanking, but stepping in with a hey, can you fix this (and that).
So, a single person. @Victor: why do you choose to focus your attention on that case, and not on all the positive reactions / feedback you're receiving?
Fixing the music issues would make this patch pretty much perfect I reckon. For me the missing emotion pitch change (a great touch to the game IMO) is reason enough to stick to the original PSG music.
I do bet skills exist to get this done as well though 
The musics from Koichiro are excellent, too good, IMHO at the same level as Konami. So thank you Víctor for this patch, it's perfect. It would be nice if Koichiro could compose more OST from other Konami games...
Thank you so much Victor and Koichiro for bring new life to a great game like USAS. 
I hope in the near future the emotion pitch can be done, because it is part of playability of the game.
Great work, and please do a smooth scrolling version of Super Laydock: Mission Strike