Do you use it by hand or with extensions like a crowfoot? I have stubby ratchets for hand use, and never found a need for the crowfoot setup.
Primarily with extensions or with a breaker bar.
At the time I bought my Ko-ken, my small budget didn't allow for a purchase of an expensive XL-length ratchet. So, I felt it was a wise purchase.
Snap-on called theirs, IIRC, the multi-purpose ratchet. The Snap-on and Ko-ken ones are like a 4-in-1 type of ratchet:
-use it as a conventional stubby
-use it as a long ratchet (limited by what extensions you had at your disposal)
-use it as a flex-head ratchet (limited by what length breaker you had)
-using a breaker bar in a particular orientation, one can apply a push-pull type ratcheting action on it.
(I've never applied the last feature into any practical use)
The Nepros one has a closed ****-end, so it's a 3-in-1.
Here's an example of it being used in the process of removing an O2 sensor in a really confined (nearly blind location) engine space.