linux-rt's PREEMPT_RT has a negligible impact. It is there, but it is negligible. It does, however, enable a lot of use cases where Linux fails otherwise, such as pro audio.
In modern usage, it even helps reduce input jitter with videogames and enable lower latency videoconference.
I am hopeful most distributions will turn it on by default, as it benefits most users, and causes negligible impact on throughput-centric workloads.
I think I'm right in asserting that a fully-upstreamed RT kernel won't actually do anything different from a normal one unless you're actually running RT processes on it. The reason it's taken so long to upstream has been the trade-offs that have been needed to enable RT, and (per the article) there aren't many of those left.
The sort of thing it could help with is servicing hardware that does run hard realtime. For example, you have an RTOS doing direct control of a robot or medical device or whatever, and you have a UI pendant or the like that a user is interacting with. If linux on that pendant can make some realtime latency guarantees, you may be able to simplify communication between the two without risking dropping bits on the floor.
Conversely, for the common user it could improve things like audio/video streaming, in theory but I haven't looked into details or how much trouble there is currently.
RT Linux might not pass on some certifications, but there’s likely many systems where it would be sufficient.