I played a show where half of the tunes were all with a click that was tied into a sequencer that "played" multiple keyboards on stage. I also play along with a click at my church gig whenever, they use a DVD in conjunction with the song.
As long as everyone can hear the click, it's actually more freeing to play with it. But, if some of the players aren't listening or can't hear it, you can wind up with a real train wreck on stage.
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