If they are doing meaningful review, I question how much they actually get done in life.
I still use it honestly, but I'll need to move on at some point - not just because it's MV2-only, but also I've found a way in which uMatrix can be bypassed if a website were to specifically target it. (It doesn't affect uBlock Origin, although I haven't tested the Lite MV3 version.)
So for instance you can start with an extremely restrictive mode like noJS/3rd-party/images, then with each time pressing the hotkey it relaxes to noJS/3rd-party, and then noJS/embeds, then no embeds, then full access (ie like uBO comes configured out-of-the-box).
https://github.com/gorilla/ublock/wiki/Keyboard-shortcuts
https://github.com/gorhill/uBlock/wiki/Advanced-settings#blo...
https://github.com/gorhill/uBlock/wiki/Blocking-mode
You still need a solution for cookies (eg CookieBro), and I still long for an "expanded expanded" mode on uBO's menu that reveals uMatrix columns, but this might help replace some of your use cases that currently require uMatrix.