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There is nothing real about a scene painted on canvas except the canvas and the paint itself. Likewise, there is nothing real about a narrative except the paper and the ink it's printed in. Both are invented. Both rely on a medium, which is the only part of the work that is materially real.
Still, it seems somewhat absurd to limit the term to all but the entirely abstract, though some would. Better it seems, would be to recognize realism as any work of art that does not seek to create an illusion, or that consciously disrupts the illusion it creates.
But to me, only the first sort or realism has the possibility of conveying life and/or emotional weight. The problem in poetry is that so many poets choose versions of disruption (i.e. sur-realism), while ignoring all of the kinds of material realisms that could give their work life.