Relief valves used to be a bit different than they are now. Many had lead plugs that would melt at too high a temperature and then run water until someone found it and shut off the main. Often, they were smaller - 1/2" instead of 3/4".
And sometimes, they put the relief valve in a line instead of in the heater itself.
Ancient water heaters often had non-immersible elements that were typically 750 - 1200 watts. They heated very slowly. Still, any electric thermostat could fail and heat the tank indefinitely. (That is, until it explodes . . .)
But today's 4500 watt heaters could put you in trouble very quickly. Water heaters include both the 190 degree electric cut-off and the temperature AND pressure relief valve that will discharge whether the water is too hot or there is unsafe pressure. If they don't work, you've got a bomb. I have walked in on heaters that were spewing live steam from the relief valve because the safety electrical cut-off was not working. Had the relief valve been limed shut, the house would have been gone before I got there. (And we have very hard water in my area.)