This fact is used in Mössbauer spectroscopy (recoilless gamma emission in solids). The peak is so sharp that it was famously used by Pound and Rebka to detect the gravitational red shift in the lab at Harvard in 1960, reaching 1% accuracy by 1964.
https://en.wikipedia.org/wiki/Pound%E2%80%93Rebka_experiment
The gamma rays normally have energies per photon many orders of magnitude greater than for visible light and also much greater than for X-rays (which are produced by electrons accelerated by very high voltages when hitting a target).
The thorium 229 nucleus is the only one that can emit gamma rays that are so low in energy that their energy is not only lower than for X-rays, but it is also lower than for many sources of ultraviolet light. For instance the ultraviolet light used in state-of-the-art lithography for semiconductor manufacturing has much higher frequency (shorter wavelength), by about ten times.
These gamma rays of the Th229 have a wavelength that is not much shorter than the 184-nm ultraviolet light that can be obtained with a mercury-vapor lamp.
What is important is that for such a frequency/wavelength it is possible to build laser sources, which enables the design of an atomic clock that will use thorium 229 nuclei instead of neutral atoms or ions of other elements (like ytterbium, lutetium, strontium, aluminum).
EDIT Hmm [1]:
> Interestingly, the existence of a nuclear excited state of such low energy seems to be a coincidence and there is currently no conclusive theoretical calculation that allows to predict nuclear levels to this precision.
And there is a paper with a ton of detail and some nice diagrams of energy levels [2], but i'm not sure it really gets at "why".
[0] https://arxiv.org/abs/1905.06308
[1] https://link.springer.com/article/10.1140/epja/s10050-020-00...
[2] https://iopscience.iop.org/article/10.1088/1361-6455/ab29b8