*emphasis* (i.e. italic)
**strong emphasis** (i.e. bold)
You can use underscores in exactly the same way, but the reason I’ve stuck purely to asterisks is that it’s just slightly easier to type and I think it’s slightly more readable when I’m reading an un-rendered Markdown document, so I appreciate the syntax that John Gruber chose here.
In my experience underlining is how you bold when you can't bold.
Underscores/underline were a hint on a manuscript to the typesetter that you wanted italic (https://en.wikipedia.org/wiki/Underscore). It later became a way to add emphasis (either italic or bold styling) on typewriters as there wasn't a practical way to have bold and italic versions of every character on a mechanical typewriter.
Most professionally typeset content (i.e., optimised for legibility through years of experience rather than just whatever your word processor will allow) will not contain underlined content (https://practicaltypography.com/underlining.html).
I wasn't disagreeing with that; edited my comment to be clear. Asterisks are emphasis; emphasis is typically italics.
I do think that underscores should have been underlining, but unfortunately that's not what Markdown chose.
What in the world does "words used as words" mean?
https://www.chicagomanualofstyle.org/qanda/data/faq/topics/N...
I think you are answering my question, but I still don't understand. How else than as words would words be used? Are you saying that the underlining here is serving the purpose of quotation marks?