If you have a stock height car, you can probably get by without them and be okay, or if you have insanely stiff rear lowering springs, your car will ride like crap, but you'll be okay without them. I have Strano springs (no heater hose mod) and Koni shocks without bump stops and the car has definitely bottomed out several times on the freeway, especially with someone riding in the back. It feels horrible when this happens and cannot be good for the car or safe at those speeds. I'd say if you lower your car, as a rule, you should have bump stops.
I recently replaced my dry-rotted off factory rear bump stops with the aftermarket urethane Jeep pieces. They aren't direct fit, as one side needs to be shaved down to clear the outer lip. I've softened them up sufficiently for my tastes, now I just need to see if they'll survive the daily speedbumps with the holes I drilled in 'em.