FWIW, I do use a password manager. But what you say is pure speculation. I don't see any formula for how should I estimate risks here, and the common narrative amongst security folks is "hooray password managers!". I'm often giving that advice myself, but honestly, I'm doubting it more and more.
The truth is that I don't give a fuck about losing 90% of accounts I use (and I guess I'm not the only one). Many of them I could even give you myself as a birthday present. Using password manager as a rule of thumb would imply that these accounts are as important as the most important ones. Which is nonsense. Even if we discard all the disposable accounts, I still doubt that losing your twitter would hit you nearly as hard as losing your main email account or bank account.
However, exposing that all these trash accounts are mine might make me feel uncomfortable.
If that makes sense, then we must actually stop using the rule "password managers FTW" and start using the rule "consider how important is every given account to you, and treat it accordingly, chosing between several kdbx files". Which is much more complicated rule, obviously. I would even say it creates much higher mental load than remembering several sufficiently complicated passwords.