real-time indicates the metric is optimized for single pass collection. In many cases the counters will be slightly less accurate. For example. The lts_t_sectors* raw counters increment by 0-4 per cycle. The realtime variants have an internal 2bit accumulator and output a 1 to the counter when the internal accumulator rolls over. For .avg this means a ± 0-3 error for a sample period. For .sum the error can be larger as the error is per L2 slice. In most cases this has no impact on analysis unless someone is writing a very small micro benchmark and expecting deterministic results.
The reason we define_realtime is it allows the tool to collect may more counters in a single pass as the counting hardware in has to support and increment by one operation whereas lts__t_sectors_srcunit_tex_op_read_aperture_sysmem l_lookup_hit requires at least 3-bit predicate for src_unit & op==read && aperture==sysmem and a 3-bit increment.