It has 1 k flash and 64 bytes RAM and can output PWM signals. This is more RAM than the ATTiny9 has and you can play music with it:
So add a battery and a piezo speaker, and you'll have one of these greeting cards for less than a buck. Sell it for 2 bucks -> profit!
Such microcontrollers are useful in many other small applications as well, like one of these LED flashlights with a button, where it changes the intensity with PWM by pushing a button. You can individually program which pins are input and which pins are output. But in output mode the pins of the PMS150C can only drive 14.5 mA, so no high current pin unlike some PIC microcontrollers have. If you want to drive higher currents, you would need an additional external transistor, e.g. for controlling motors for toys.