They get in the way when donating the primary on a long hose. I always have one packed and have never taken it out. Perhaps if I get back to Palau some day and visit Jellyfish Lake I'll need it.
I'd "pack" one if wearing it on the mask is an issue, but I'll always have one on me ready for use. I have never had to use an octo for a true OOA situation in the last couple of decades and I always carry one but I have almost always used a snorkel on the surface as a standard procedure when on the surface either swimming to the exit point (shore or boat) or waiting for the boat to come to me.