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Also with higher mastery and bonus runes received your essence gets stretched a lot further to the point where it can be cheaper essence wise to cast a spell with the combination runes over using their normal counterpart.
I usually don't use them for casting myself, but you do need them for Summoning tablets.
EDIT: Also higher level spells and alt-magic spells. It's harder to see their use when looking at the low level spells but when you need 40 Air, Earth, and Fire at the same time it becomes more apparent.