It provides a wonderfully complete and easy to use set of tools to generate a unique dungeon and its denizens. I haven't had to pair it with any adventures, rather I supplement the content therein with Skerples "the monster overhaul"
Skerp’s Monster Overhaul for sure is one of those resources you can like, convert on the fly from OSR to His Majesty the Worm with a little squinting and the guidelines for conversion! I use it almost every session while running it.