The issue is Blender has been in perpetual Beta for decades. Every update something breaks, moves, permutes, or goes missing. It is chaos incarnate in some ways. =3
OpenScad and FreeCad also works for 3D cad files. However, many people that own 3D printers will never sculpt, re-mesh, or cad up their own objects. =3
I use blender because I also like to do a lot of 3d printed art, and as you mentioned, that sculpt tooling is one of many fantastic tools for that purpose.
Also LLMs know a lot about Blender, making it very easy to describe what I want to do, and then get a walk through of how to do it with Blender.
https://bartoszstyperek.gumroad.com/
LLM are sometimes good at organizing the awful documentation for Blenders ever permuting API, but will not help you get better creatively. If you are interested in geometry nodes, than this channel offers a lot =3