It's mostly a matter of taste.
I do use multiple cursors quite often in Sublime Text when needing to edit some CSV or JSON file. It's probably the feature of Sublime Text, why i'm still having the editor around.
It work's extremely well.
I could type ":.,.+5s/findtext/replacetext/g" in vim (and remember the syntax!) or i just could do "ctrl-d, ctrl-d, ctrl-d, ctrl-d, ctrl-d, replacetext" and have a visual, immediate confirmation on what i am doing.
But i bet you, that i'll press ctrl-d 5 times faster than you entering ":.,.+5s/".
You do not have to remember the syntax; you can use Vimscript and you can create a custom keybinding that prompts you for the "findtext" and "replacetext" strings, then apply the search-and-replace operation over the next 5 lines (number of lines is easily adjustable and can be prompted for it, too; it does not have to be hard-coded either).
Vim users don't have to choose between precision and ease of use as you can build macros or mappings that match ANY workflow, creating powerful, customized processes that minimize the need to remember exact syntax or type it all out, for example achieving results similar to multiple cursors but with Vim's inherent efficiency and scalability. So, while Sublime Text's multiple cursors are handy, Vim can match - and even exceed - this functionality with very little setup (emphasis: one time setup!).
(I use VSCodium (which I really enjoy) for Go, PHP, and Elixir; IntelliJ IDEA for Java and Kotlin, and I use both Emacs and Vim for everything else).
What about holding down the shift arrow, pressing the down arrow five times, then ctrl-r? In most IDEs replace with an active selection will default to replacing only in the selection.
I could type ":.,.+5s/findtext/replacetext/g" in vim (and remember the syntax!) or i just could do "ctrl-d, ctrl-d, ctrl-d, ctrl-d, ctrl-d, replacetext" and have a visual, immediate confirmation on what i am doing. But i bet you, that i'll press ctrl-d 5 times faster than you entering ":.,.+5s/".