Never saw an effect on flight from the engine angle after lateral balancing with the engine in place. For me it's always been a case of fitting to a cowl profile or keeping the muffler below the exhaust port so I didn't have to pull the pressure line when refueling.

Only flying 4-strokes it's not a problem mounting in any angle. Sometimes a placement of 54 1/2 degrees of rotation is just right
quint