Ad Nauseum is snakeoil. Their FAQ states that they "click" on ads by sending a XHR request[1]. As you might imagine, this is easily detectable, and given how rampant ad fraud is, fake "clicks" like those are almost certainly filtered by every ad network. Otherwise anyone with a botnet would be able to easily make millions of fake clicks with a few lines of javascript.

[1] https://github.com/dhowe/AdNauseam/wiki/FAQ#how-does-adnause...