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Until Spotify releases a proper Apple Watch app, yes. I really need to get myself off Spotify, but I have too much automation in place.

What kind of Spotify automations do you have?

The main thing is a cron job that scrapes a private music blog that I'm a member of and updates a playlist. Then another script that can tell when I've listened to a song on that playlist. If I favorited the song, it gets moved to another playlist (bands to further investigate). If I didn't favorite the song, it is deleted.

I’m not sure what the reasons for continuous sync would be, but SongShift will do a manual sync between services for free, and it sounds like I did so to move from Spotify to Apple Music just in time.

Both Apple Music and Spotify have a bunch of curated playlists, which are pretty good.