You can turn and twist it however you want, plastic bags or yogurt cups built like houses nowadays require air exchange.
And that is only achievable if you work from home or someone is there during the day... if it is purely a "sleeping house," then nothing works anymore except for a [Kontrollierte-Wohnraumlüftung], at least not in the city.
Because here I cannot simply leave the windows tilted/opened in summer or winter. Otherwise, I risk coming home to find the house involuntarily "tidied up" by some gentlemen.
If you don't know a house with [Kontrollierte-Wohnraumlüftung], you don't miss it. However, my wife and I notice the difference clearly when we are at friends' or neighbors' houses "without" it.
Where mold is supposed to form in the pipes is also beyond me... it's not an incubator. It simply lacks a breeding ground here... I once posted pictures somewhere here showing what a system looks like after 3 years of continuous operation.
Exhaust air: light layer of dust
Supply air: like newly installed
Fans: light layer of dust
Heat exchanger: like new
The systems are usually only audible at full load.
Where space is supposedly lacking for it is also incomprehensible to me. All my piping hangs on the ceiling in the utility room. The system itself is on a wall just below the ceiling (so there would still be room for a washing machine underneath), the piping through the house is on the raw floor beneath the underfloor heating insulation... so I have no space losses at all. Everything was built where unused space was available anyway.
And the 50 euros for electricity and 10 euros for filters per year really don't make me poor... but for that, there is always clean air in the house.