https://www.postgresql.org/docs/devel/btree-implementation.h...
One benchmark involving a mix of queue-like inserts, updates, and deletes showed that it was practically 100% effective at controlling index bloat:
https://www.postgresql.org/message-id/CAGnEbogATZS1mWMVX8FzZ...
The Postgres 13 baseline for the benchmark/test case (actually HEAD before the patch was committed, but close enough to 13) showed that certain indexes grew by 20% - 60% over several hours. That went down to 0.5% growth over the same period. The index growth much more predictable in that it matches what you'd expect for this workload if you thought about it from first principles. In other words, you'd expect about the same low amount of index growth if you were using a traditional two-phase locking database that doesn't use MVCC at all.
Full disclosure: I am the author of this feature.