Back in the early days of RasPi there was a competitor, the BeagleBone Black. It was similar to the Pi in many ways, but included embedded MCUs that were meant in much the same ways as the Pico's PIO. You could use them to bitbang protocols that would be difficult/impossible/unreliable to run on the SoC itself.
I thought it was a brilliant idea, but the BeagleBones never got the same level of support that the Pi did. The few times I tried using my Black, I ran into numerous deal breaking bugs.
It's great to see the spirit of this idea is still alive and well. I've got my fingers crossed that they somehow convince Broadcom to build PIO into their SoCs.