I would imagine the 'shock factor' of a real engine power loss would be the biggest problem, those few seconds of disbelief and denial would soon eat up any chance of successfully climbing at blue line after take off. Crashing straight ahead with the wings level is what I try and brief myself on.
By the way, the KA200 isn't a piston twin and cannot really be compared in the same category as the others, but I'm sure you knew this. It's possibly the easiest of the lot with rudder boost, auto-feather and an excess of power.