Really Simple CAPTCHA does not work alone and is intended to work with other plugins. It is originally created for Contact Form 7, however, you can use it with your own plugin.
Note: This product is “really simple” as its name suggests, i.e., it is not strongly secure. If you need perfect security, you should try other solutions.
Really Simple CAPTCHA does not use PHP “Sessions” for storing states, unlike many other PHP CAPTCHA solutions, but stores them as temporary files. This allows you to embed it into WordPress without worrying about conflicts.
When you generate a CAPTCHA, Really Simple CAPTCHA creates two files for it; one is an image file of CAPTCHA, and the other is a text file which stores the correct answer to the CAPTCHA.
The two files have the same (random) prefix in their file names, for example, “a7hk3ux8p.png” and “a7hk3ux8p.txt.” In this case, for example, when the respondent answers “K5GF” as an answer to the “a7hk3ux8p.png” image, then Really Simple CAPTCHA calculates hash of “K5GF” and tests it against the hash stored in the “a7hk3ux8p.txt” file. If the two match, the answer is confirmed as correct.