I use them at least a few times a year, though far less than I used to when I was on the interstate a lot more. Any time traffic rapidly drops more than about 20mph, I light up my hazards to let following traffic know, "Yes, you see brake lights, no, they're not just people scrubbing a few miles an hour off - get on your brakes now!" Probably a habit I picked up from truckers, a lot of them do this for the very understandable reason that a big rig doesn't stop on a dime, and even if they will, you're likely to unstack your cargo in the process.
Super infrequently used compared to other buttons, but also not something I really have the time go sorting through menus for when I need it. And neither do I trust the car's automatic systems to turn them on for me.
Though, if I could dream, we'd use LED brake lights to encode braking intensity somehow. The car knows if I'm barely touching the pedal to cancel cruise control and light up the brakes, or if I've just mashed them to the ABS actuation point, but the brake lights don't encode any of this useful info. You couldn't rely on it for car behavior (trivial to spoof, and get rid of tailgaters), but it would be an additional useful input for driving - "Woah, hey, that car in front of you just nearly locked up their wheels, radar data agrees, slow down!"
I don't know the legality of them, but nobody ever complained on the motorcycles.
I suppose regulations do not allow it in the U.S. but at least here it can be programmed on/off via service terminals.
Random example from YouTube: https://www.youtube.com/watch?v=dJk-rJpgF1o&t=108s
Maybe the concern is that in heavy traffic a sea of flashing lights will overwhelm / distract people too much? Or cause seizures? I'm really not sure.
Most German cars will flash the brake lights when you push the brakes hard, and they will also automatically turn on hazard lights if you brake hard to a (near) full stop (assuming you were going some minimum speed of 50 or 70 km/h).
ABS stepping in is not a requirement as far as I could tell (had this a few times when erring on the side of caution when the light turned yellow). Not requiring ABS makes sense because even if you’re driving on proper roads and your recent German car has great tires and brakes and doesn’t need ABS to decelerate quickly, the truck behind you probably still needs a bit more time and early warning to avoid a collision.