He's not unique, instead very textbook sociopath. Lines up with the alleged abuse of his younger sister too. There's not much more to him than a wheeler and dealer, self serving abuser.
It feels like he just wants to do 10 things at the same time.
Hey, if you don't like Sam, that's fine. But that doesn't make him a sociopath.
This sort of misattribution seems to show up when you have individuals with sociopathic tendencies running firms that do cool things: Elon Musk is the king of this. The man has not, on his own, had any sort of good results on the world - Tesla and SpaceX seem to do a lot better when he steps away from them - but he has found ways to get himself into a position to take credit from the engineers who do. Hyperloops and Twitter are the results of Elon Musk's original work. That's not to say that the management is necessarily negative: someone needs to fund the work of the good engineers.
SpaceX and Tesla have the equivalent of the principals of each section of the orchestra feeding their conductor his cues and making sure he gets them right. Google has someone standing on the podium and bowing, but nobody waving the baton at all.
OpenAI is more of a research organization than a product company, and so it's hard to see where someone like Altman can contribute meaningfully to the direction.