I was an avid flight-simmer before I learned to fly, but my problem wasn't with needle chasing, but depth perception. I really struggled with judging distances and I always percieved something as being closer than it actually was. My instructor used to get so frustrated because I was always looking for my check-points miles ahead, when they were actually just under the nose.
I think this comes from the fact that MSFS uses a wider angle of view that that which is seen by the human eye (in order to fit more of the scene onto the monitor).