I've been using Elixir for the past 5-6 years for my startup. We use pg_notify extensively to broadcast changes between running nodes (basically, use Phoenix.PubSub locally in our apps, with a GenServer to subscribe+re-broadcast using pg_notify).

This has been a really elegant and low-complexity way to get distributed pubsub without the complexity of running a distributed erlang cluster (which seems a lil bit painful in a K8S+Continuous Deploy world)

There -are- some big downsides to be aware of though.

1. You can't use PgBouncer w/ LISTEN/NOTIFY. This has been really painful because of the high memory overhead of a pgsql connection + elixir keeping a pool of open pgsql connections. The tried and true method of scaling here is to just use PgBouncer. We've kicked the can on this by vastly over-provisioning our pg instance, but this has cost $10s of thousands on the cloud. Of course, it's solvable (dedicated non-pgbouncer connection pool just for LISTEN/NOTIFY, for example), but painful to unwind.

2. The payload has a fixed size limit (8KB, IIRC). This has bitten us a few times!

Even though I really like pg_notify, I think that if I were starting over, I'd probably just use Redis Pub/Sub to accomplish the same thing. Tad bit more complex if you're not already running Redis, but without the downsides. (Of course, w/ Redis, you don't get the elegance of firing a notification via a pg trigger)