I recently dropped the Game Speed from 50 to 42 and wow a big difference. I finished a quarter Nets (me) vs Raptors (CPU) [NBA Today], Superstar/Sim with User Timing, score was 22-17 and I shot 39% and Raptors shot 38%. Lovely! I saw a lot of missed shots from the CPU. It was an overall great experience.
My experience at 50, the game felt too fast and button mashing and the CPU bangs a lot of shots. Not the case with the settings at 42 speed.
Give it a try. The speed also helps out with Help Defense and deters Points in the Paint by the CPU (which has been a legacy issue in 2K). Raptors had only 4 points in the paint andn I had 6 after 1 quarter. I had work so I couldn't play anymore.

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