Eventually, the Rafis Blue Cursor was compiled into "skin.mix" packs and widely distributed. You can find it easily today. It is, technically, just a .png file.
In a rhythm game where mental state is everything, the placebo effect of the Rafis cursor was real. Players felt better using it. It represented a specific era of Osu! —a time when Rafis, the "Polish God," reigned supreme, and the game felt pure and mechanically difficult.