Of course you can produce first-rate results without a DRO.
The electronics simply makes the task easier and perhaps less prone to error (anyone can miscount hand-wheel turns or make a reading error; but some marking-out first will go a long way to minimising that risk.)
I have fitted a Machine-DRO set to my mill, all 3 axes, and do use it, though not every time. Depending to some extent on the work I still use the dials occasionally to maintain my ability with them, or because it's just as quick.
Fitting it on a machine not built to take one, a Myford VMC, was a challenge involving much rather complicated metalwork and the loss of the table-stops. Just because I've a box of numbers does not mean I need sacrifice existing aids unless enforced mechanically as here. I prefer augmenting or complementing such aids, not mere replacing.
I have not yet used its more advanced features such as pitch-circles and radius-generating, but the instruction-manual is very clear, and I am very pleased with having put my works retirement collection towards it!
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I have not fitted a DRO to either of my lathes, where I think them marginally less valuable and right in the way of all the swarf and coolant; and anyway the Myford ML7 is crowded already. (Myford sells a new version of the top-slide, I think, with a rectangular outline to facilitate fitting a DRO.)
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As for "serious accuracy", although a DRO will read to the tiddliest bit of thous or mm, the accuracy (or is it precisyon?) and quality of the work it is still very much up to the operator! The display is an aid to your accuracy, not an accuracy-maker itself.