Coming from the Go! world, I view Elixir is trade of speed for OTP out the box niceness. But comparing Elixir to Node, then you're just gaining speed and stability.
And it keeps going -- I very frequently see Go criticized for slowness by C, C++, and Rust developers. It is all about the usecase, which is why I find this topic so interesting. It's one of the few situations Elixir mid-level speed is actually a real world problem.
But in the domain of Web programming, scheduling efficiency is much more important than the speed of execution. If it is a huge batch operation on a single machine, Erlang/Elixir would be terrible.
Similarly, for React there's fiber mechanism -- it's worse according to benchmark, while the user would get a better experience due to a better schedule.