I remember that from the previous flight simulator - but never had any issues before with not resetting the altimeter in FS2020 - but thanks - I’ll experiment around with this.
An altimeter is nothing else than the barometer you have at home (even if it’s a little bit more sophisticated). And as a barometer it do the job of changing indications following atmospheric pressure. But the runway doesn’t change it’s altitude as it rains or it’s sunny, so you have to reset indicator to show the real altitude of the runway. (It’s a very simplificated explanation, but easy to understand).
You do this before take off by adjusting the knob on the altimeter, or by pressing the D key.
EDIT: NOT the D key but B like barometer, sorry
The only way to notice would be that your altitude indicator will move/adjust and if you look for your barometer setting it would show a different number once you pressed B