Like C++ and Perl, there's a bit of caution required to avoid writing unreadable OCaml code. A disadvantage of pattern matching is that it's relatively easy to write a function where you define a variable and then first access it 500 lines later. IDE support for obscure languages is also often weak or requires extensions or idiosyncratic IDEs which are unfamiliar to many people (and often you want some kind of tool to collapse a 500-line function). OCaml has good vim plugins but not everyone uses vim.

That's my experience with it anyway.