Re the Gleam comparison: I don't know Gleam's implementation in detail so someone correct me if I'm wrong, but as I understand it - Gleam compiles to fairly readable JS with a minimal prelude, and deliberately treats the two targets as having different concurrency semantics. It doesn't try to replicate BEAM processes or OTP in JavaScript, instead using JS's native promise-based async. The upside is zero runtime overhead and clean JS interop.
Hologram takes the opposite approach - we're iteratively reimplementing the Erlang runtime in the browser, with the goal of having full semantic parity eventually. The tradeoff is a heavier runtime, but the benefit is that the same Elixir code can run on both server and client with consistent behavior.