I've used it to translate SQLite (with a few extensions) and, that I know of, it's been used (to varying degrees of success) to translate the MARISA trie library (C++), libghostty (Zig), zlib, Perl, and QuickJS.
More on-topic, I use a mix of an unevaluated expression stack and a stack-to-locals approach to translate Wasm.
Edit: Yep. In article referenced from the original: http://troubles.md/posts/wasm-is-not-a-stack-machine/
Double edit: Some of this has already been fixed in WASM: https://github.com/WebAssembly/multi-value