My wife's the espresso drinker in my family, but I'm the espresso machine administrator, so here's some input for what it's worth. Thirty years ago her father gave her an Olympia Cremina lever machine. She can work that thing like a magician and according to friends makes a stupendous espresso and/or cappuccino. The Cremina is the Mercedes Benz of espresso machines (if you're talking about an old, old Mercedes with a million miles on it). As to its functionality, it has never been babied and I'm sure some would consider it abused because we never clean it enough or run water through it prior to making espresso, etc., etc.
After about 23 years of constant use, my brother and I spent a pleasant afternoon rebuilding it from a kit I got via wholelattelove online (don't know if it's still around or selling Cremina parts). That was a dead simple replacement of some washers, o-rings and gaskets, btw. It made it tight as a drum and is still running perfectly 7 years later.
Potential drawbacks: It does take a little time to warm it up. I'd say for optimal results you're going to need 15 minutes, minimum. My wife is a hard charger in the AM and this warm up time has relegated the Cremina to a weekend house we have. Surprisingly, we have the polar opposite machine for weekday use--an Illy that uses the iperEspresso capsules. My wife, who can tell you the ins and outs of caffe bars in Rome (Sant' Eustachio v. Taza Doro, for example), finds the illy to be fast and perfectly fine for her wakeup coffee. The machine warms up almost instantly.
Other big drawback: Very big investment--$3,000+. But it will last forever. She's retiring soon and I plan to get her a new one for the occasion.
These lever devices are ingeniously simple objects, and the Olympia Creminas, now made in Switzerland, are a pleasure to have around for the long haul, like an old Porsche or a Masi from Milano.
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