The issue most ToU violations have with enforcement is that it's hard to show damages. If you just accessed their service with a fake name or downloaded some data for personal use, you haven't really harmed the company. So what are they gonna do, spend $10M to sue you for $0? So they just handle it internally by banning your account and discontinuing your use of the service.
But if, say, you did a DDoS attack that caused an outage costing them $100M, or you did large-scale scraping to set up a competitor that puts them out of business, and they can identify you, they absolutely will come after you in court for that money. The economics is different: now the damages they show is much more than the cost of litigating the case.