Alkaline is 1.5v nominal and NiCad and NiMH 1.2v nominal. Some devices won't work well with the lower 1.2v of Nicad/NiMH so these Lithium Ion with an internal regulator is supposed to keep the output at 1.5v so those devices designed for alkaline will work.
Devices that are essential to life have build in battery indicators and plenty of those will give an error when it noticed the voltage curve is incorrect (or they detect the differences and block it as it's not
intrinsically-safe in that configuration; ATEX/hazloc rated items). These range from avalanche beacons to industrial measuring devices. For smoke detectors; those tend to be more basic, but those will not provide battery alerts either when the voltage doesn't drop.
They will probably work with most regular items. But i personally don't have things that require more power density in AA/AAA form.