I manage 100+ servers, hosting a significantly larger number of domains, on a variety of linux and FreeBSD operating systems. Under both Apache & Nginx. "..all of that hustle.." to initially setup is under 2 minutes with LetsEncrypt. The renewal (via a cron job) is completely out-of-sight/out-of-mind.
The execution is shockingly simple. If you think it's "all that hassle" I guarantee you haven't even tried.