It’s philosophically interesting to me. The writer spending a year(s) working on a novel would develop their own place names, for sure. They’d have thorough grounding for why the name exists, continuity with other place names in their story, etc.
I guess what I was trying to get at is the first encountering of the phrase, the first impression: I’d rather first encounter a terrific place name where it has identity and meaning in a story, not just one of a hundred randomly formed phrases in a list. Would an actual novelist use this method?
I think the D&D comments are interesting (as I’ve run campaigns in the past). I probably put too much effort into choosing names in my games, but I could see this being a good tool for groups that want to play more loosely and generate a random setting quickly.
And after all, I don’t think any of us can argue with the results. 
