I had one for several years, started w/o a preamp and later added 2 different preamps. If I owned one today, I would indeed have a preamp in front of it.
I would put a Lamm preamp in front of it, but that is my biased. I first started with a Lamm L1 and the rest fell into place. Eventually the Berning left and was replaced by the Lamm ML2s.
Not that the Berning is in the same league as the M2 as an amplifier, it is not. But it is a very good amplifier that has much more potential than its design would reveal. If you consider this amplifier, then consider a proper dampening devices, I was very happy with the Berning atop a Symposium Ultra shelf and Rollerblocks. A very different amp on these devices - noise floor is improved significantly giving you more up and down the spectrum.
But the Lamm preamp sure was a huge improvement in sound - much more smoother and organized and linear sound. Dynamic contrasts were now revealed, small passages that would unravel into large dynamic swings causing me to respect the volume attenuator on the L1.
This was a good combination in my experience. What you put into this amp, you will get out, so just understand that the sound can be improved quite a bit with the right accessories/ancillaries.
Very flexible piece allowing you up continue upgrading your system.