A few days ago I tried to build some perls with 32 bit ints and 128 bit floats. Cue test failures. Today I tried again, and this time I read my notes from last time on how to do it, and it Just Works.
Yay past me!
(the #BigInt modules bundled with some versions of perl don't like that combination of data sizes; the solution is to ignore their test failures, install anyway, and then upgrade to the latest versions from the #CPAN)