What print debugging and debuggers have in common, in contrast to other tools, is that they can extract data specific to your program (e.g values of variables and data structures) that your program was not instrumented to export. It's really a shame that we generally don't have this capability for production software running at scale.
That's why I'm working on Side-Eye [1], a debugger that does work in production. With Side-Eye, you can do something analogous to print debugging, but without changing code or restarting anything. It uses a combination of debug information and dynamic instrumentation.