You could, with track IR – but it’s a bit of a pain to setup right and no where near as accurate and very sensitive as you have to be able to keep your eyes on the screen.
I guess whether it’s worth it depends on whether you’re already a PC gamer, a decent TV for a console sets you back about 500 quid (I don’t have one) and I have a fast enough PC if I upgrade to a GTX 1070 or 1080 – so the outlay is more like 1k.
I will hold off until next year – but it is great. Did I mention that IL2 is an awesome sim? Linked up with a few friends of mine from 12-13 years ago when I was playing the original, we carried out a low level airfield raid in a finger four formation on one of the online serves – just being able to look over your shoulder and see your buddies skimming the treetops with you on the way to the target area is probably the most memorable gaming experience I’ve ever had.