And it's definitely used by real engineers. It's for making switching power supplies, so it can handle fairly complex circuits. I wouldn't venture into RF/high speed circuits with it though, since the included parasitics aren't sufficient.
The parasitics all depend on the model, as I used LTSpice recently for an RFIC class for a 5 GHz LNA. The .net directive allows two-port analysis and even a Smith chart. Though Microwave Office is my go-to tool.
Most EDA packages will include some sort of simulator, often SPICE-based. The fancier ones for RF work include or integrate with field solvers.