Я думаю вся фишка для того чтобы использовать что-то, что требует привилегий администратора в .cmd файлах через sudo. Там run as не канает.

Ну и в догонку...
На сайте ж написано.

Difference from the builtin Run as...

    * The sudo launched program is running under your account and profile and not a different administrator account's
      so you can expect the application behaving exactly the same way as you wait for except of course it is running with
      full privileges
    * Sudo launched programs see your Desktop and My Documents folder
    * Sudo installed applications will be installed to your Desktop and Start Menu just as if you would use the default
      high privileged Windows account
    * Because you remain the owner of the files with sudo installed applications you can later configure the application
      if you just normally run the program with limited privileges sometimes even if the program is "poorly" written
      (not designed to work with low privileged accounts)
    * You don't need to always type in your password while you would like to launch multiple programs in a short time
      because sudoWn caches the password for you for 3 minutes
    * If you are a system administrator you don't need to give out the root password, every user can use his password
      for privilege escalation