PipeWire was also made by a guy with a lot of multimedia experience (GStreamer).
ALSA was kind of OK after mixing was enabled by default and if you didn't need to switch outputs of a running application between anything but internal speakers and headphones (which worked basically in hardware). With any additional devices that you could add and remove, ALSA became a more serious limitation, depending. You could usually choose your audio devices (including microphones) at least at the beginning of a video conference / playing a movie etc, but it was janky (unreliable, list of 20 devices for one multi-channel sound card) and needed explicit support from all applications. Not sure if it ever worked with Bluetooth.
ALSA was kind of OK after mixing was enabled by default and if you didn't need to switch outputs of a running application between anything but internal speakers and headphones (which worked basically in hardware). With any additional devices that you could add and remove, ALSA became a more serious limitation, depending. You could usually choose your audio devices (including microphones) at least at the beginning of a video conference / playing a movie etc, but it was janky (unreliable, list of 20 devices for one multi-channel sound card) and needed explicit support from all applications. Not sure if it ever worked with Bluetooth.