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If I have my setup working on Nobara now, would it still be worth the effort to switch (again)? I imagine I could basically keep my home directory as-is, including pipewire setup, game configs etc.?
No, if it’s working for you, why bother? Unless you’re the adventurous distro hopper, stick to what’s working for you. I’d only take the time to switch my home to bazzite if Nobara started causing problems.