All the pre-configured solutions give us an end-to-end solution with complete integration of the multiple Azure Services as required to build an IoT solution. It does help in going live faster or doing a PoC with the nearest common scenarios we see based on each solutions capability.
But certainly, it may not be the exact solution you are looking for. You can extend and customize the solution for specific scenarios as you wish.
Let's understand how it works to customize the Remote monitoring pre-configured IoT Suite solutions.