Which tool is right for the job? On the one hand these hex head screws/bolts need "driving" but they also need driving via a socket (considerable length difference between a 3/8" stubby Impact + socket vs a compact impact driver with hex-to-3/8" bit + socket on the end). Additionally, fastening bolts vs driving screws offers a difference in resistance to the work. Are impact wrenches really mostly ideal for bolts on machinery and not so much for putting a hex head screw into some thick wood?
There is some confusion here.
Define "large-ish".
Can you be a little more specific on application?
By stating "hex head screws and bolts" I dismissed small diameter structural construction screws like GRK RSS, FM LOK, SST, Spax, PowerPro, Tapcon, etc.
Any modern impact driver will do just fine on those, but often a drill works better and faster without all the noise.
To me "Large-ish" implies:
Installing 10" 1/2 zinc lag screws (3/4 hex) which is gonna kill an impact driver.
Installing 7/16 hex garage door screws can even be tough on an impact driver.
1/2" Powers Wedgebolts (3/4 hex)? Good luck with your impact driver.
If were talking exterior cladding screws of the 1/4, 5/16, 3/8 hex variety, then yeah, am impact driver is great. (I wont get into Versa-clutch.)
Lots of variables here. We need more details.
In a nutshell, impact wrenches certainly serve a purpose in construction, especially heavy.