I've been surprised (and horrified) to learn that there are companies out there that _can't reboot their servers_ because they simply don't know how to bring the app back up. For them... live patching is the only options.
Blows my mind, but that's reality (apparently)!
Reality is a messy thing.
We have to accept that we will sometimes play digital archaeologist. That's a good thing! It means that the technology we're studying was successful. So given that, it's better to have out of date documentation than zero documentation, so that we can pick up the trail somewhere.
There were no logs to try and work out which processes needed to launch for it to do its job, causing several days of website downtime (not a simple website - dozens of interconnected services). We ended up taking the phone off the hook because we kept getting calls of "is it fixed yet?"
A hundred years later IT priests will demand human sacrifices to appease the server gods
Kernel patches were not on top of my head 15 years ago.