The board is currently sized to fit in a 1U rack and is very shallow for skiffs. As you can see below.

Now you're probably wondering what we can feed into it and what the gameboy actually receives. Below I have simulated a few inputs and probed the SI pin on the gameboy's link port. The first simulation shows a very hot saw jumping between -12V and +12V, but the gameboy receives a clean square wave with skarp edges between 0V and +5V.

Another simulation shows a sine wave of only 2V peak to peak and an offset of +5V! But as you can see on the gameboy's SI pin, we have another 5v pulse.

So, what about the gameboy as the master clock? No worries, just change the setting on your GB and the module will output a 0-12V pulse so you can use your GB to sync up to modules that may need more than a 0-5V pulse.

After thoughts:
Adding a jumper to the board which switches the output range from 0-12V to 0-5V would only require a three pin jumper or toggle switch.
Adding three of these modules to a 3U faceplate is possible and would allow the user to daisy chain the I/O an control other modules along with more gameboys from a single handheld.