On flat ground or rolling terrain around the Midwest, yes. If you are pulling a long grade where the TCC is unlocked for more than a few minutes (in 3rd gear or below), you can have runaway temps where the small OEM cooler cannot really keep up. I've experienced this even under low-throttle conditions when driving out West, pulling paved grades unloaded at 25-40 mph (with the speed based on the road being curvy). If you are towing in hillier areas of the Midwest, you may also end up having the same problem.That’s a significant improvement even with the “small” OEM cooler. That suggests that maybe it’s not too difficult to keep temps in check if almost any cooler is added.
If you are not driving out West or towing, the OEM cooler is probably fine for normal driving conditions. It was for my rig until the first time I took it to CO. But, a larger cooler is actually cheaper than a OEM cooler anyway and will provide better performance if the rig is used hard.