OK - where do I start? I suppose I ought to give y'all a brief bio or rundown of my experience.
Been a Ham for over 40 years. Started out in 1964 as an SWL, then played with CB a bit, but concentrated on my Ham license; got it in 1969. Have been an RF technologist my entire career. Worked in land mobile, broadcast, broadcast satellite systems, and everything else.
OK- down to business - I've been a high-power AM op on the ham bands since I got my ticket. (In fact, I'm the Canadian Director of "AM International", or AMI, an AM users organization.) In the amateur AM world, we use something called negative peak limiting, or negative cycle loading, or variably called "Ultramodulation". This is a form of Positive peak stretching. In AM modulation you can have your positive peaks extend infinitely in the positive direction, but you must limit the negative peaks to 100%, or suffer from carrier cut-off and spaltter. In amateur AM we aim for about 150% positve peaks, derived from various broadcast peak limiters, such as Orban, Dorrough, Volumax, etc.
The resulting waveform is double sideband REDUCED carrier. This is precisely what the Top Gun Modulator achieves. Though I'm not sure the Top Gun Modulator actually stretches the positive peaks, it does produce DSBRC. The resulting waveform has some distortion on it, but it is slight and unnoticable. Virtually all AM broadcasters today run 125% positive peaks. The only distortion is heard on cheap AM receivers with cheap diode detectors. Modern solid state IC detectors don't pick up any distortion. DBRSC should not cause any significant audio distortion.
Next - CTCSS. Yes, a CTCSS board would have been a nice addition. Why it wasn't included is a mystery. Maybe there were manufacturing cost considerations and they had to balance their market targets for maximum profit? I think so.
In any case, one can purchase a 3rd party tone board from any number of companies - Communications Specialists, Piexx, etc.
My experience is that most 10M repeaters in North America don't use CTCSS, or if they do, use it to eliminate local interferance while allowing DX signals to pass unhindered. (They do that by using comparative squelch systems.)
Finally, there is loads of AM on 10. I'm up there all the time, around 29.000, with my either trusty Viking Ranger, or my HR2600. The 10M AM section extends from about 28.980 to about 29.250 or so. 29.000 is the AM calling frequency.
Oh and I fully intend to buy an OmegaForce S45HP as soon as I can find one; I just love it!!! (It'll have to share the shelf with two HR2600's and an HR2510!!!) Yes, 10M is one of my favorite bands.
I hope that helps.