This will happen frequently on any video card with VGA where it'll be offset to some degree (usually along the X-axis, but also Y-axis) and can generally be adjusted with changing the backporch - that said, I don't bother doing it with an OSSC since 15 profiles is extremely limiting for my collection. OSSC Pro is on my to-do list somewhere.
Another thing is that you won't get any 1024x768 87hz interlaced output via a direct VGA connection to the OSSC - when I've had to deal with ISA cards that won't do non-interlaced 1024x768 I've usually had to do a VGA->Composite->Component->OSSC chain to get some output, though that's far from ideal. 72hz output is generally either squashed in size (most cards) or stretched out vertically by a fair amount (ATi from the top of my head are specific offenders here, but also S3 cards with integrated RAMDACs) along with some fuzziness in image quality - you're better off changing the refresh rate to 60hz to get a significantly more stable image if possible.
Some video cards will have really terrible 640x480 output for anything >=256 colours where colours are very off depending on how much white is on the screen. I haven't noticed any specific trend as to what causes it - I have a GD5420 that exhibits this behaviour, but my GD5402, GD5424 and GD5429 cards are all perfectly fine.
Finally, I have a small number of PCI/AGP cards where the OSSC will sync but will not output anything at 640x480x16 colour mode - I've noticed this with Savage 4 cards specifically, and a couple of others that I don't recall off the top of my head.