At the moment it's a bit pricy to buy one just for that use but maybe one day it'll be cheap enough that people will feel comfortable buying it for that feature alone.
If you're a MacOS user, you can auto-unlock your computer with it (sounds scary even typing it, but it's damned handy)
A quick swipe up and you can use it to "ping" your iPhone (phone makes loud sonar sound) in case you can't remember where you put it.
If I'm on other side of house, and phone rings, I can actually answer call with watch and talk Dick Tracy style :-) (people tell me it sounds pretty clear)
It's also a great alarm clock if you wear it to bed since it vibrates silently. No more waking my wife up at 3:00AM when I need to catch an early morning flight.
I used a Fitbit for years and was reasonably happy with it. But the reality is that the Fitbit was cheaply made and not especially attractive. If you're already spending $100+ on a fitness tracker that is going to likely break in a year, it isn't that much of a stretch to spend a little more to get a really nice Apple Watch that lasts longer and looks nice when you're dressed up.
The cost is needing to charge the device daily, although at a 50% daily burn with AOD on this could be stretched to two days.
I work for a medical billing company owned by a physician group, with deeper integration into hospital systems than the demographic-only feeds we get to stuff like labs and monitors would help us better enforce our quality programs in real-time instead of after-the-fact when coding.
For Garmin devices the Gym Genius app appears to have similar functionality but I haven't actually tried it yet. https://www.geniuswrist.com/GymGenius/About