Being able to work on a webapp that rapidly reloads in under a second is huge. It allows me to maintain the state of flow as I'm bringing something to life.
I had a unique use case wherein I had a separate worker thread that also needed reloading with the hotreload. I was able to hook into the hot reloading via "[assembly: System.Reflection.Metadata.MetadataUpdateHandler(typeof(MyHotreloadClass))]" and quickly solve my issue. I was pretty surprised to be able to modify that so easily.
The focus on performance and programming ergonomic makes me optimistic about the future of the platform. As someone who deploys to linux and is generally way outside of MS' ecosystem, this seems like a pretty big deal.