Massive Multiple Input Multiple Output (MIMO) offers superior capacity for future networks. In the quest for energy efficient implementation of these large array-based trans-mission systems, the power consumption of the Power Amplifiers(PAs) is a main bottleneck. This paper investigates whether it is possible to operate the PAs in their efficient nonlinear region, as the Out-of-Band (OOB) distortion may not get the same array gain as the in-band (IB) signals. We present a framework to simulate the effects under realistic conditions, leveraging on an accurate Ray-Tracing Simulator (RTS). The results show that the often assumed i.i.d. Rayleigh fading channel model results in too optimistic predictions, also in Non Line of Sight (NLoS) multi-path scenarios, regarding the spatial distribution of OOB emissions. We further comment on the consequences in view of current regulatory constraints.