Personally, I've never not used all my PTO in a given year and would consider being unable to do so a show stopper.
Most companies are great about it though and encourage PTO.
Expectations may differ from how much time is in a traditional PTO bank but at least in general, it's OK to take accrued time off barring special circumstances.
We got bought out and the new overlords announced they were going to give us five weeks of vacation. There was actual laughter in the room. We can't even use 2 weeks, what's 5 gonna do for us?
When I put in my two-weeks at my last job, my boss said that if I can get all my work transferred in only a couple days (I did, since I basically had almost no work, hence my search for a new job), then I could just fill the rest of my two-week notice time with my remaining PTO. No reason to spend two weeks pretending to work at my computer.
Going into the week off in August, I wasn't sure how seriously they took it, but sure enough, I didn't get a single e-mail that week other than weekly reports from automated tools. I even checked Slack that Friday, and there wasn't a single message except for the channel where people post pictures of fun stuff they do over the weekend.
It was pretty nice.
So, a more cynical take on mandatory time off, and something that absolutely does happen, is that they'd just rather not have the work than have to pay extra for it.
Also common is not rolling over into the next year, so use it or lose it.
> generous time off