With Unreal on one side, and Godot on the other, where while C# is supported, it is mostly for Unity refugees, there are very few other options left.
Yes there are MonoGame, FNA, Stride and so on, but they lack the same kind of mindshare across the industry.
Using it well requires a competent team, working together with trust and transparency, to build processes that are designed to effectively balance human guidance/expertise with what LLM's are good at. Small teams are doing very big things with it.
Most organizations, especially large organizations, are so far away from a healthy culture that AI is amplifying the impact of that toxicity.
Executives who interpret "Story Points" as "how much time is that going to take" are asking why everything isn't half a point now. They're so far removed from the process of building maintainable and effective software that they're simply looking for AI to serve as a simple pass through to the bottom line.
The recent study showing that 95% of AI pilots failed to deliver ROI is a case study in the ineffectiveness of modern management to actually do their jobs.
aside, but I have yet to meet a single person (dev, qa, pm, exec) who doesn't do this.