Everyone who has one will recommend you to get one.. mainly cuz they use it as a building stand.
As for needing one, no you absolutely don't.. unless you WANT one

If you have a device that has a proper ohm reader, you're good to go.. Usually when you watch reviews of products, they will most likely mention if a specific device has an ohm reader that's way off..
Right now I have 3 RDAs, 3 RTAs, some subtanks with RBA sections on my table and so far I've been good without one.. so if you have like a single tank or a dripper.. you probably don't need one either..
You might want something comfortable to build on.. so yeah sure, if you want one and have the extra money for it, go ahead by all means.. or just get a stand or whatever.. I for example made my own little building stand from a piece of solid heavy insulator (textolite) and an ego adapter with a 510 center that I drilled into the textolite block. It works better for building than any stand / ohm reader I've seen on the market.
As for ohms.. for example the way I build for mechanicals (where ohms matter a bit more..) is I make my calculations on steam-engine.. build the coils then usually verify it on my evic VTC mini (which is fairly accurate). And guess what.. 0.3 ohm build I configured on steam-engine was measured by the VTC as 0.30.. so as far as accuracy goes I'm more than satisfied.
Cheers!