The sounds are synthed sounds (I used fluidsynth) and the haxophone just uses the sound pressure to infer velocity of the notes.

The mouthpiece is optional: you can blow on the neck of the device and will get the exact same sound. But as a sax player, I really prefer to use it with a mouthpiece blowing through it but without making the reed vibrate (so no sound). I find that it helps me maintain proper embouchure and feels more comfortable. And after a solid practice session, I still get that gratifying tingling lower lip feeling.

Thanks for the feedback!