If you start underexposing, you will know in advance, that your shadows will be deep, medium tone contrast will be weak, and high tones as well as grain will go through the roof. All of this works very well for some subject matter, and not at all for some other. Since these wildly underexposed shots were frequently made with the lens wide open and no tripod, chances are high, that these shots will be soft, too. Overall it's very difficult to predict, whether a random subject matter will work out at severe underexposure. Headshots may work, while ambient portraits will look terrible (as in: 3 grains per contrastless mushy face). Then there will be lucky folks who do it anyway and create very successful images nonetheless.
There are some procedures to get the absolute last out of a strongly underexposed roll (and these have already been presented here in great detail), but whether the pics will turn out alright depends on a lot of factors outside the realm of chemical engineering.