it seems that when placing the extruder, it will "face" away from you, which is what i would expect, however if you place it against a shaft then it will be facing "backwards"

but when facing towards or "away" from the rotational input, it will still operate, i assume this is because most of vanilla create kinetic things accepts on both ends so additional work might be needed to allow for only one side to accept

note: using the wrench does work so you can fix it that way, though this is just visual as both ends work as seen below

Thank!
I'm looking to resolve.
You are correct with the vanilla create asumption... but I think the saw or the drill can give me some direction.

Create Fans for the win!
I think it's working now. Both placement and one sided shaft.
Connects correctly to the rotation provider.
Added LeftShift key functionality too.
New version uploaded to curseforge.