Besides emergencies, there are also situations where the device has a low duty cycle, and thus its average power requirements are very low. For example a remote sensor that only activates for a few seconds per day may consume thousands of times more power for those few seconds than a nuclear battery could put out, but the rest of the time it could be recharging such that it has as much energy available the next time it turns on.
If we are talking about a basement with pipes, then power isn't likely too far away.
And with smart watches we are back in "useless for most applications" territory.
But if you need more juice, then solar watches are also a thing that work pretty well.
For a smartwatch, these batteries won't produce enough power to keep them going. It's better to just slap a bigger battery into the watch rather than a nuclear battery + regular battery.