Mixed. While it often works perfectly at launch, these fixes are prone to breaking as soon as the game receives an official patch from the developers.
If you want to play a cracked game online with friends, this fix is often the go-to solution. However, be prepared to re-download the latest version every time the game updates, and always use a burner account for safety. VRising Fix Repair Steam Generic-0xdeadc0de : r/CrackWatch whos-who-fix-repair-steam-generic-rar
Because these fixes require Steam to be running, there is always a residual risk to your Steam account. Community consensus usually recommends using a secondary/throwaway Steam account to avoid any potential bans. whos-who-fix-repair-steam-generic-rar
Requires a running Steam client, which may pose a risk to your account. whos-who-fix-repair-steam-generic-rar