All sports and disciplines that practice non-competitive full contact opposition are useful in real combat. After all, not everything is good to take because of the adaptations of each discipline to its competition formats, but the fact remains that knowing how to place a good left-right or a good hook is useful in 'real' situations. It is not necessarily a panacea, the alpha, and the omega, there may be more suitable, but it is effective.
So yes, there are risks. In English boxing, you fight with gloves on, hitting with closed fists without gloves is something else, you risk injuries, such the famous boxer's fractures (fractures of the neck of the metacarpals among others).
A badly placed blow on a hard part, like the forehead, yes, it hurts, although at the time the adrenaline helps, you don't necessarily realize it and it is very disabling if you have a job where you use your hands (which is, let's be honest, many, many jobs). And it can happen to the best boxers and technicians, as it happened to Mike Tyson in August 1988 for example.
That said, hitting with open hands can also be an opportunity to turn around, sprain fingers, or even worse. Beware of hoods for example. In short, there are no miracle solutions (elbow strikes are very good, but you have to be close), only more or less good choices depending on the situation, knowing that decisions must be made in a fraction of a second.
Anyway, by practicing English boxing, you will have developed qualities of the eye, cardio, explosiveness, and technical skills that can be useful in a real fight...even if the best is to avoid having to use all of these. But let's keep in mind that in the real world, you never know who you are dealing with, that you can be taken by surprise, that you can have to deal with several attackers, that weapons can be used, that the environment will work against you, etc.
In short, whatever your level at the gym or in the ring, stay humble and aware of the risks.
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