As far as I'm concerned ME-equipped NICs should unconditionally be behind VPNs, but the AMT functionality itself is really cool. Even the 10+ year old machines that don't support VNC let you remotely hit CTRL+ALT+DEL, issue an ACPI shutdown, perform a hard reset (equivalent to hitting the reset button on 486-era boxen), etc. So basically you can do either soft or hard shutdowns or reboots. Quite granular.
I actually used the hard-reset functionality while playing around with Linux early boot on a laptop a few years ago. Rebuild initramfs (loaded via PXE), use `curl` to hit AMT reset endpoint. Very cool.
Lately this has been my biggest barrier to leaving a computer fully remote.
I kneejerk-recommend a bastion host because a) Intel ME, and b) there was that all-0 password bypass a while back and uhhh yeah who knows what other "sneeze correctly and the leaf falls over" knock sequences there are.
SSH port forwarding, VPN, RPi running the remote-access AMT web UI thingy (runs on Linux, forget what it's called) behind nginx with authentication... you get the idea.