For components of the reactor, gravity tends to be helpful. It's much harder to cool superconductors or generate steam if your liquids aren't flowing along the bottom. Turbines don't work nearly as well if their inlets are sputtering like a coffeemaker.
One example is a sideways precession due to the interaction between gravitational acceleration g and the Lorentz force. Fortunately this effect is basically negligible, because gravity is so much weaker than the electromagnetic forces operating on the particles.
The difficulties tend to come from the geometry of the magnetic field itself. For example, in a torus shape, there is an unavoidable drift in the vertical direction due to the combination of centrifugal force in the big circumference, and the force implied by the gradient of the magnetic field.