But ..
(a) if the terrain is benign .. not much of a concern
(b) if the terrain is nasty .. all bets are off.
The missed approach and landing climb WAT limits are there just to make sure you can go up .. just ... but without ANY consideration of terrain and CFIT. That's up to you (in reality the operator's ops eng folk).
In general, for nasty runways, the ops eng section will run a range of calculations to provide adequate terrain clearance. Fortunately, these days, tracking is not too much of a concern in the miss.