Found out a way to get the Game Haptics Router to work with Minecraft.
This mod adds controller and rumble support to Minecraft Java edition, and the GHR tethers to it pretty well.
It doesn’t work with a DS4 controller so you may need to use something like DS4Windows to trick your PC into thinking it’s an Xbox controller in order to use the rumble.
For some reason, when skeletons pull back on their bows it causes vibration, can’t tell if this is a bug or a feature of the mod.
It translates rumble for most normal damage pretty well, but long term damage effects like poison drop off after the first few rumbles. Again can’t tell if this is a bug or a feature of the mod.