I really enjoyed the comments about how playing it downhill affects the risk of going long. When I played OM, my first thought about this hole was that the bunker didn't seem deep enough or steep enough, but I appreciate the fact that it's a resort course.
We have what seems like a pretty decent copy of the Road Hole at The Tribute here in Dallas. I haven't been to St. Andrews, but our hole includes the key elements of having a blind drive over a building and negotiating around that bunker. Unlike Old Mac, we also have OB right off the tee and cart path/wall behind the green. It's looks less penal than St. Andrews because the area behind the green is larger, runoff less severe, and has bermuda rough. But as a key difference, our hole plays slightly UP hill, which takes some of the risk of going long out of play.
It's incredible how the different turf influences the way you play, though. Our road hole is bermuda fairway/rough and bent green, OM is obviously all fescue. We couldn't even imagine the putt from 10 feet off the green, let alone 40+.