Not when it boils to basically "this is a video of a completely different product that costs 25x more than this one, don't buy this."

Unless the fake ad was actually intended to drive traffic to the original product, which is an obvious perverse incentive introduced by this tool.

Do you think they know we know they know we know?

I think there was a time you could comment on Reddit ads as well, but eventually advertisers seem to disable the feature due to negative comments.