I saw one video of a guy with a bone problem who was actually able use his thumbs to hit speeds in excess of 190.
Sometimes people will type properly but shift the home position depending on the word. I’ve even seen some people use 5 fingers on their left hand and one finger on their right hand.... quite astounding really.
One thing all of them have in common, which is excellent accuracy.
Also, fun fact, Dvorak has one major flaw if you are a CLI addict like I am. The command "ls -l" is typed entirely with the right pinky finger. If you want to know what it feels like on a qwerty keyboard, then simulate it by typing "p; 'p"
I struggled with this combination a lot, but eventually I drilled it into my fingers, and now I can type it totally naturally.