I carry one instead of a spare in the Miata, but have never used it. The other vehicles don't benefit from losing 50 lbs like that car does, so they carry full-sized spares.
I have plugged tires in the field, I carry a compressed air tank (10 gal @ 125psi) which will fill almost any truck tire and two passenger car tires. Once we (not my car) plugged a tire with toothpicks and melted plastic jig worms (fishing tackle).
Wasn't my truck, but I watched it in action, and we drove another 300 km (200 miles) on mountain roads at 110 kmH (70 mph) without issue. He later put a patch over the hole from the inside, but there was no indication our makeshift repair was in imminent failure.