As someone who mostly dislikes real time with pause I am glad they didn’t go that route. I just like the see the full results of my action such as to see a spell go off completely. Real time with pause also often messes up the art that went into the sound design and animation choreography.
Relatedly, it’s so satisfying the way the care they took with sound and how impactful your combat actions are as a result. So many game designers ignore sound design; I think this is a huge factor in the success of Blizzard games. People can argue Diablo IV is a poorly designed game, but the sound design is excellent and greatly contributes to the weight of actions and ultimately the dopamine hit factor. I think it’s been their secret weapon as people don’t often realize the effect it has on them. Larian took the same care here and it’s awesome.