I suspect that the desire to use Real48 would be rare (maybe in embedded applications?), but perhaps not zero.
It is definitely not relevant for embedded, but only for older TurboPascal code:
This came up on this forum and efforts were made to provide at least a reasonable and sensible set of support, mainly to do conversions to more modern types.
It ended up somewhat, but not totally, complete but it has issues because it is not often used and therefor lack much testing.
That is clear because since 2016 the bug did not come up before.