PinMAME is nothing more than a Pinball machine rom player
However, in conjunction with Visual Pinball
it's great fun.
Most tables are designed quite well, and work without any hitches. Only problem is some of the scripts aren't liked by Norton Antivirus, but maybe they're just poorly coded.
If you do download the two I mentioned above, be sure to download the Addams Family Gold, VPinMame table.
This site has most (If not all) the tables that are available:-
(It's down at the minute though