The traditional game console solution for PAL consoles was to just have letterboxing with the extra 100 lines blank, with everything vertically squashed a little. Games usually didn't compensate for the lower framerate, so just ran slower.
PAL console gaming was a GREAT experience, as you can imagine.
Things got better from the Dreamcast onwards as they could software switch to 525 line / 60Hz modes (usually with PAL encoded colour for composite video, except for the PS2 which used pure NTSC), and it's all now moot with HD.