These methods do work better than prompting. For example Prompting alone for example has much poor reliability in spitting out JSON output adhering to a schema consistently. OpenAI cited 40% for prompts versus 100% reliablity with their fine-tuning for structured outputs [1].
Content moderation is more of course challenging and more nebulous. Justice Porter famously defined the legal test for hard core pornographic content as "I will know it when I see it" [Jacobellis v. Ohio | 378 U.S. 184 (1964)].
It is more difficult for a model marketed as lightly moderated like Grok.
However that doesn't mean the other methods don't work or are not being used at all.
[1] https://openai.com/index/introducing-structured-outputs-in-t...