Balanced AC possible without isolation transformer?

The PLiXiR Elite BAC400 is good for powering components adding up to 250W (total), according to the guidelines from this 2017 German review:
https://6moons.com/audioreviews2/plixir/1.html

The caveat (I’ve learned) is to make sure they’re plugged into the High Current duplex of the P20, because their power draw upon turn-on can be so immense that they may pop fuses and breakers.