Just wanted to follow up with this. I put a roll of Aviphot 200 through the camera. The roll came out fat and leaked light, but that was due to my own loading error and I don't expect it to be a problem going forward. There's also a minor light leak in the camera which seems to be coming from the shiny film door latch, I experienced similar on my Mamiya 645 - it shouldn't be difficult to fix. With those two caveats out of the way:
The lens misalignment had less impact than I expected. In fact, I took several identical pairs of shots, one putting pressure on the lens to put it more into parallel alignment, the other with no pressure. The ones with no pressure were always perfectly sharp in the center, the ones with pressure were generally somewhat unsharp across all except the very edge of the frame. The alignment is only apparent at f/2.8 and f/4, stopped down to f/5.6 it's almost gone. Since the lens tilts down, it could actually be an advantage when taking a typical landscape shot as more of the ground will be in focus. At f/11, the lens is quite sharp across the whole frame.
But even at f/2.8, and near the minimum focus distance, it's surprisingly sharp in the center! With fantastic out of focus rendering. Good old Tessars.