It does. I'm typing this on a Windows 10 system I leave on 24x7 and can't even remember the last time I ran an update. You have to use a third party tool like ShutUp10 or perform some undocumented config changes, but it can be done.
Of course, just like the telemetry, once you do update it'll get turned back on again and you have to do it all over again.
Of course, just like the telemetry, once you do update it'll get turned back on again and you have to do it all over again.