Class imbalance in binary classification tasks remains a significant challenge in machine learning, often resulting in poor performance on minority classes. This study comprehensively evaluates three widely-used strategies for handling class imbalance: Synthetic Minority Over-sampling Technique (SMOTE), Class Weights tuning, and Decision Threshold Calibration. We compare these methods against a baseline scenario across 15 diverse machine learning models and 30 datasets from various domains, conducting a total of 9,000 experiments. Performance was primarily assessed using the F1-score, with additional 9 metrics including F2-score, precision, recall, Brier-score, PR-AUC, and AUC. Our results indicate that all three strategies generally outperform the baseline, with Decision Threshold Calibration emerging as the most consistently effective technique. However, we observed substantial variability in the best-performing method across datasets, highlighting the importance of testing multiple approaches for specific problems. This study provides valuable insights for practitioners dealing with imbalanced datasets and emphasizes the need for dataset-specific analysis in evaluating class imbalance handling techniques. (View Highlight)