Interesting existing Alt+Ctrl Interface
I really like the Turbox project (https://shakethatbutton.com/turbox/) because it combines one of the most fun and desired activity, which is flying and group work that makes the game much more engaging and fun.
Concept for Alt+Ctrl Interface
Bus surfer
I wanted to refer to the childhood when many of us used to imagine when going to school by bus, that they are surfing or skateboarding or just playing with gravitation, trying to keep the balance.
I would use the tilt sensor and put it inside of a platform curved on the bottom. Person would have to stand on it and on the screen he/she would see an inside of the bus, tilting to the right or left. The person on the platform would have to respond to these changes, balancing on the platform.
The simpler version of the game could display just a rectangle that would move on the screen and a point that the player would have to keep in the square by balancing.