Yeah, but they are still real accounts that exist. AFAIK, whether they're operated by humans or machines isn't a consideration when reporting user numbers.
The purpose of buying ad space is to expose your product to people as an impression or as an action. If I tell you I can sell you a service that will show your ads to 10 people and you agree to give me money for that statement, but 5 of those people are running 2 accounts each, that's misleading and, dare I say, fraudulent.