Rapid progress in the development of, and composition for, various spatial sound technologies is not reflected in developments of artificial spatial sound and music for those with hearing deficits. A significant proportion of those over fifty have some deficit, characterised as either sensorineural loss, conductive loss, or both. There is a quality of life (QoL) issue here in that many people are ‘music deprived’. We describe progress in adapting spatial sound technologies for use in a multi-transducer cranial-tissue-conduction apparatus that can elicit some perceptual impressions of spaciousness. Some implications for the composition of perceptual experience for those with hearing deficit are discussed, together with possible directions for technological development.