What do you mean exactly? A running system shouldn’t spontaneously break from not being updated. It’s just that partial upgrades can break compatibility/dependencies, but running full system upgrades should be fine, as long as you pay attention to breaking changes and major version bumps. Also with timeshift it should always be possible to get back to a working state.
Can you still hibernate and suspend?
+1, no problems at all so far, been using them almost daily for a year now on both linux and android.