I have the same problem Cortecs, but I have a 2014 Q5 S Line. In reality I can accommodate the offset pedal, but the transmission ingress and footrest location makes for a very unrelaxed driving position. I think both of these could be resolved by extending the footrest pedal buy 5-10cm forward and I may need to make something from rubber covered timber, because long distances I just cant get comfortable - the space for my left leg/foot is just cramped.
I'm surprised there isn't an after market add on.