It’s real, it works - but it’s not built for gamers.
InDragon’s Dogma 2?
Without a denoiser, there’s a ‘film grain’ of sorts visible almost everywhere.
I think this mode was most likely used by Dragon’s Dogma 2’s developers for graphics reference work.
Another issue with path tracing is its performance.
Perhaps unsurprisingly, doing a much more complex lighting simulation is expensive even on high-end hardware.