Ask this in any parenting forum and you'll get the same reply.
"Honestly never used one. I just dip my elbow in, and if it feels fine it's fine."
And they're not wrong. The skin on your elbow and inner wrist is thinner and more sensitive than your palm, which makes it a better judge than your hand. If the water feels comfortably warm there, you're probably in a reasonable range.
But "probably" is doing a lot of work.
The elbow test tells you the water isn't scalding right now. It can't tell you whether you're at a comfortable 38°C or an uncomfortable 41°C, that's a difference your adapted adult skin struggles to feel and your baby's sensible skin absolutely notices.
The real question isn't whether you can manage without one. It's whether guessing is worth it when the cost of being wrong is staying up all night holding your little one while he is crying and refusing to go to bed.