PS, I did look at drawings for a flat twin model engine a while back that had both con rods on one crank pin so both pistons moved in the same direction at once, making it as unbalanced as a double sized single cylinder, and the builder didn’t seem to mind the vibration. So perhaps at model size and medium rpm, it’s not so important? (I don’t remember the name of model or designer.)
On the other hand, BMW et al are “boxer” engines with 180 degree crankpin offset so pistons move in opposite directions, cancelling out each other’s primary balance. But each crank throw is still counterbalanced like a single cylinder engine where you balance for the reciprocating weight and half the revolving weight.