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Not really, it's just there to get rid of a few particularly annoying items that you hate for whatever reason.
You're still supposed to rely on RNG for runs, and there aren't that many "bad" items in the game.
Honestly, pets are more annoying to deal with than any item in the game. You actually have to pick up items to use them and they don't just automatically equip or anything.
It's really there just so you don't get "that one drop" that you dislike anymore.
Followers on the other hand are a lot more random and can hinder more than help at times.