So, I am one of those who has implemented this on my big scale heavily modified cr-10 S5.
Well with bigger prints, the risk of crashing into itself because of a small blob is very real. Possibly ruining a 100$ worth of filament and missing deadlines. (We are using this professionally.) Blobs will happen, especially if you run low cost filaments and PETG, which is the only sane option for functional bigger prints from a cost perspective. We are using the BTT system S42B on all axis and it works well. A blob is now just a small distraction which can be polished away but the remaining print is still dimensionally correct.
However, it is not a trivial task to actually implement. To make this work one needs a printer main board allowing for external stepper drivers, like SKR E3 DIP,SKR V1.4,SKR V1.4 Turbo and so on. Also there one needs to tune the PID:s for the system in use which is not super simple.
If you are truly an expert and do big prints, I really think this is a must have upgrade. On the other hand if one are only printing smaller parts on a hobby scale this will not be a worth while upgrade. I am not talking about the money involved, the pcbs are just 14$/pcs but the work needed with new cabling pid-tuning marlin-digging and so on. For us it is just amazing to not have 30% failures any more, du to the inevitable blobs sometimes appearing in bigger prints.