Especially, you can't do the spectacular compressed stuff without one of those.
You can get sous-vide-like results sometimes without said equipment, though; Thomas Keller's Ad Hoc at Home book contains a lot of unstated backports from sous vide techniques. For instance, he has you blowtorch a big prime rib roast and then cook it at very low temperature in the oven (275 F) for two hours. It reliably comes out with the uniform-pink-almost-all-the-way-to-the-edges effect. Presumably not quite as close.