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I use emacs for Clojure but I've got two amazingly productive coworkers who use neovim. It is a non-issue for them.

Given that wookie's author uses vim it is clearly possible. Another prominent lisper that uses vim is Steve Losh, they've even written their own swank equivalent based on nrepl, cl-nrepl https://github.com/sjl/cl-nrepl

I'm using vi (not even vim) for Scheme and some obscure LISP dialects and I indent my code manually. The magic is in LISP itself, no plugins required! :)

Whenever I wrote Common Lisp, I used vim + tmux + rlwrap & sbcl. I didn't find it to be a hindrance, but I've never done really complex things with CL either. YMMV :)

I used slimv for a while and it worked pretty well. Now I use evil-mode.