the main concern
as with any software, is that nothing, whatsoever, is installed without the users express permission.
if i install a game (or any software), i expect nothing other than that game(or software) to be installed!
If it is, i should have visibility of it, and the option to refuse. If that software is necessary for the running of the game, it need to be clearly outlined, in a fashion that is visible before purchase.
ie the case + websites selling it MUST explicitly say that this game requires the installation of the securerom driver in order to be played, and you must explicitly be given the option to remove that separate driver. if you uninstall the driver without the game, the game just needs to pop up a message saying that it requires the other software to run (which is fair enough, as long as this is CLEARLY visible to anyone, before purchase, failing that, they must be able to return the software for a refund)
refunds on pc games are near impossible to obtain, as it is, the only pc game i have ever successfully returned for a refund, was a game where the store had given me a german version, even after installing it on a pc in the store, and seeing that it was all in german, i still had to argue to get a refund! (although in all fairness, i was tempted to make a copy of the cd before returning it, despite it being in german, however at the time blank cd's were expensive, and copy pretection was less well understood, so i decided against it)