My experience using built in node:test and other rapidly evolving things is frustration around getting improvements. I test one of my projects with the oldest supported NodeJS version, and simply can’t use node:test there because the old node:test in Node 18 is missing a lot of features. It’s similar to building for Apple’s platforms - great stuff happens every new major version, but there’s no way to use new libraries with older OS versions. Gotta wait for all your users (and yourself) to update your whole runtime to get those new features.

Maybe if you are on Node 23 and you absolutely have everything you need, then node:test is okay, but I DO NOT recommend it.