It’s the first thing I do on a fresh install, and with my selections I see fewer ads (0, more or less) than I do on my MacBook for iCloud products so I’d hardly say it’s “futile” in actual use and only takes like 5 minutes to run once.
I always hear people say nothing sticks after an update but have literally only encountered that with Microsoft Edge and the default search engine. Not any of the Windows features disabled or configured by the script.
Not sure if it’s just outdated or a meme being repeated by non-Windows users but in any case it is not at all what I’ve experienced exclusively running debloated Windows 11 installs for years.