It's the same number of times you need to configure scaling in macOS though?
Welcome to HN: where NixOS is evangelized with the thunderous battlecry of "People who hate configuring love configuring NixOS! If you hate configuring too, you should stop using that system you've already finished configuring and then learn to configure this new one!"
Nope. They said out of the box. So it's "looks like 1920x1080" with a massive dock. Pure and intuitive as intended.