systemd-oomd and oomd use the kernel's PSI[2] information which makes them more efficient and responsive, while earlyoom is just polling.
earlyoom keeps getting suggested, even though we have PSI now, just because people are used to using it and recommending it from back before the kernel had cgroups v2.
[0]: https://www.freedesktop.org/software/systemd/man/latest/syst...