Dunno if Shimano is ever going to live down BioPace. At the same time I’m glad clever people kept at it.
I just measured a 48T Biopace ring that was in my spare parts bin, and the ratio of major to minor diameter is about 3 percent.
The only annoyance I can think of is that you can't use those rings with a single-speed or gearhub without a chain tensioner.
If they're wrecking your knees, don't push such long gears. Or, rotate the ring by 72 degrees on the crank to pretty much negate the effect.