The hand shower is naturally High Top, as we know it from Grohe. From the flow wise, it is good, by the stabilizer can be set not just strong jet, but it will do just fine and it saves money.
I think the 4 settings not very beneficial in 2 settings you notice virtually no difference (Rain and Rain O²).
The other 2 settings are very convenient if you need a more powerful smaller jet (massage and jet).