Before Cakewalk implemented upsampling, I had to go through a very laborious process of saving out MIDI and audio files, saving presets in amps and synths, opening them in 96 k projects, rendering, etc. It was a pain.
I don't upsample everything but there are some instruments and amp sims (as well as a dynamics processors sometimes) where it really makes a cumulative difference. When I render a final mix, if I don't have upsampling enabled, the overall sound quality is audibly and obviously less "defined."