I've been using it for so many years that I'm not sure when I started, but I've never had issues being labeled as a bot.
What should actually be noted is that Google has rejected the plugin from their store for ages so it does seem to do some damage to adtech.
And this is probably the best argument in favor of AdNauseam.
You can still install it on Chrome, but it is a manual process instead of just downloading from the Google Store.