Man, I was about to try setting one up with Emacs since an issue I had has finally been fixed, and now I am questioning if it's even worth the effort.

Not sure if you are on Emacs 31 yet, but another HNer told me the version issue was fixed for them, but I haven't tried.

> I’m doing C# and man does the ecosystem there really push you to use an IDE.

I had to stop using Emacs for C# dev for a similar reason. Well that, and being on Windows for work only further compounded the issue.