The VS Code ecosystem has too much complexity for my tastes. I do keep a copy around with a few code formatting plugins installed but I feel more comfortable with Emacs (or Vim for my friends who are on that side of the fence).

I am a consumer of apps using npm, not a developer, and I simply don’t like the auto updates and seeing a zillion things updated. I use uv and Python a lot, and I get a similar uneasy feeling there also, but (perhaps incorrectly) I feel more in control.