If you don't need it and don't want any of the enhancements the description mentions, no need to bother IMO.
It makes the game a bit more challenging - with sharpened weapons requiring more agility to use and arrows not being able to be sold for a lot of cash. Your call whether those are plusses or minuses.
Reality is for those who cannot cope with fantasy. Fortunately, I can cope quite well.
I played the game in 1.44 - had no probs. But I don't use summoning dolls (one of the bugs the patch adressed) or visit the BF to level up (Act 3/4 were supposed to be buggy).