It's just important to keep in mind that library / framework authors, library / framework users, and final end users are not all the same person or even type of person. Metaprogramming enables the first group the most, but can deliver benefits to the latter two groups by easing their lives quite a bit. This is easy to lose track of in a niche language like Nim where all 3 groups might well be the same human for most of the life of some project.
This partly also relates to how much of a "full stack debugger (of either correctness or performance or both)" personality one has. Then there are even more layers -- like all the levels in the language / compiler itself down to the CPU and beyond (such as "u-code" & micro-architectural resource sharing).
What macros mostly do is enable fluid, simple syntax for things either too rare, too niche, too unanticipated or too disagreed upon to be in "the main language", whatever that is. As a shibboleth (or marker for group inclusion), the existence of this expressivity selects for programmers who want to fix rare, niche, unanticipated or disagreed upon things, and these people can be even harder "cats to herd".
Nim has other very flexible features - such as the rare "user-defined operators" that enable very nice looking custom syntax. But you can also SCOPE their use very simply. E.g., put their definitions inside a template so that you can say `ptrArithmeticNow: expression` and only have pointer arithmetic within `expression` (maybe with +! to look a little diff from ordinary arithmetic), and (ptrArithmetic itself can be scoped within a module name). It also has even more powerful (and more rare) term-rewriting macros, used most commonly in Lisp systems, perhaps doing computer algebra.