It's generally fine, the vast majority of applications are fine with it, it's mainly the legacy shit that falls over.
You can also enable it on a per directory basis, and I've yet to encounter a Dev tool that has issues with it. Same for the path limit, you can have long paths enabled too.
I used this within smart tube for a while, but honestly I kind of missed some of the clockbait titles. There problem I faced was that it wasn't clear when a title had been replaced or not, so when you did find a video with a relatively clockbait titles, it gave you a bit of a false sense of security. I also found that sometimes the crowd sourced titles were just boring, albeit accurate.
Maybe I'm just weird or maybe I've just been browsing YouTube for so long that I'm used to it, but for now it's an addon I'll skip, though I'm very glad it exists.