If “really does work” means it moves a lot of air, yes. But, to tell a story of living with them, I grew up in the Mississippi delta about 50 miles south of Memphis - almost in the middle of nowhere. Dad had new house built in 1972, no air conditioning whatsoever, only a very high volume attic fan. Our parents didn’t get a window unit until mid 1980’s after I’d been gone several years and then got central air in late 90’s.
The house had zero shade but we planted trees that do good shade now and about 15/20 years later.
If anyone understands Mississippi delta summers, it’s endless heat and humidity- 8-9 months a year a attic fan is great - but late June thru mid September is pretty much miserable at night - you never really “get used to” sleeping in that kind of heat and humidity, you live thru it, and if you spend a lifetime living in those conditions it has profound health effects. You can be tough enough to endure it until in your middle ages but after that it will put you in the grave quickly- just the impact of decades of poor sleep for months at a time leads to many physical and mental health issues - IMO it’s a very under studied issue. Not too much different than what a lot of military folks endure and people who work rotating shifts - and I’ve done both and know from experience. But, it’s why almost everyone has air conditioning in the south now, it really is a necessity if you are going to live a long and healthy life in the south. The key is being cool wherever you are going to sleep.