Exactly 0 of the artists I know “generate” their images outright - AI generations are always part of a pretty typical artistic workflow.

The way I think of it is this: typical art creation starts from a blank canvas and the artist adds layer upon layer of what you want. Eventually something coherent (to the artist at least) pops out.

AI art starts from a canvas which is filled, and the artist changes the filled canvas to meet their perspective. It’s like those projects where people take a vintage painting and add Pokémon to it. Mostly the people I see using AI art are traditional artists who view it as a new medium in their process, very few “generate” and call it a day.