The difference is that a tugger set up correctly uses the conduit itself to pull against whereas other pulling devices that may be more readily available such as a truck, backhoe, scizzor lift, or the like do not.
Years ago, back when I was a helper, I set up a tugger to pull a feeder up into a panel from an underground conduit. As the pull progressed, and the head reached the panel, I realized that I wouldn't be able to pull any wire into the cabinet without bending the bottom of the cabinet and pulling the conduit out of the dirt. (basement floor not poured yet.)
So, I cut a V notch in the end of a short 2x6 to straddle the connector, or end of the conduit (don't remember conduit type), to transfer the force to the conduit so I could pull a few feet of wire in. How do you normally pull wire in without the head of the tugger being in the way, and the pulling head won't fit through the hole in the end of the pulling arm?