Medium voltage AC machines fed by high-power inverters operate at a low switching frequency to restrain the switching losses of power semiconductor devices. Particular care is thus required in the design of the drive control system. The signal delay caused by low switching frequency operation increases undesired cross-coupling effects in vector-controlled schemes. These are not sufficiently compensated by established methods like feedforward control. Improvements are achieved by a more accurate modeling of the machine and the inverter. An adequate controller is introduced, having a transfer function with complex coefficients. The high harmonic distortion due to the low switching frequency is a tradeoff. Using synchronous optimal pulsewidth as an alternative permits reducing the switching frequency without increasing the harmonics. The detrimental effects of conventional control methods are eliminated by forcing the harmonic components on an optimal spatial trajectory. Deadbeat behavior and complete decoupling are thus achieved. The performance of the aforementioned schemes is compared based on mathematical analyses and experimental results.