Let's take a moment to remember the time period when everyone had to adjust to using dual-joysticks on controllers.
(media.piefed.world)
Yes, the y-axis must be inverted. Otherwise I spend the whole game staring at my feet or the sky.
Oddly, growing up my younger brother was the opposite. It was annoying to take turns playing games with him, because we have to adjust the settings between handoffs.