You can use Vary for tons of caching optimizations via varnish, such as caching mobile web-pages vs non-mobile web pages or just a particular header. It's all about just flexing a little bit of VCL (which I'll admit sometimes can throw people off).
They had me until this part:
> This is an HTTP cache built directly in Passenger so that it can achieve much higher performance than external HTTP caches like Varnish.
And since they have no benchmarks to really back up these claims, I'm skeptical they did much research against Varnish to tune or set it up. I'd love to see the numbers on varnish vs their turbocache. Without numbers, I have to take a lot of it with a grain of salt.
Either way, seems like it could be an extra handy thing to have in your toolbox, as long as it fits your stack.