> It doesn't matter what the OS does or doesn't do in the background, atomically reading and writing to memory is unaffected.
That's not true. If this thing is file backed there is usually no guarantee that the page of virtual memory (i.e. a page of the file data) you're accessing is present in physical memory. You'll cause page faults and data transfers to/from disk. This can delay the execution of an atomic read or write potentially infinitely, or even cause a "crash" of some kind if the disk transfer fails.
You can avoid the page faulting part of this if you somehow pin the memory. Which is completely ridiculous given that all you ever wanted is anonymous memory. I've looked up a website that seems to explain this better (but I haven't checked it deeply). Maybe it helps: https://eric-lo.gitbook.io/memory-mapped-io/pin-the-page