The problem is so much worse than this now. There are dozens of fake accounts under every one of his tweets and it doesn't even seem like these accounts are trying anymore. Their names are sometimes random strings of letters, and they just change their profile picture to a screenshotted version of Musks. Oh and once you report one of these accounts it can take weeks for Twitter to do anything
I also find it so strange that Twitter hasn't done anything to specifically limit these accounts. They could even naively block normal users from having a verified user's profile picture and this problem would virtually not exist.