Even for technically challenged artists, it is not difficult because there are several technicians around here that install Hackintosh machines for this industry and update them from time to time. Their names are passed by word-of-mouth.
The bigger production houses will probably buy the new Mac Pros, but the entire freelance sector will keep their Hackintoshes or move to Windows. The pricing is just crazy.
Like I said, it can work, but relying on "word of mouth technicians" isn't very practical. There are also times when, after an update, things just break, and the "technician" may not even be able to fix the issue in a timely fashion, especially issues related to sound or QE/CI. I've done enough digging around and tinkering with kext files and video drivers to know that it can sometimes take days of concerted effort to fix these issues. I'm sure mileage varies depending on one's needs or the particular hardware configuration but you're rolling the dice every time you update.
Definitely, they've all become paranoid about updates or installing anything which is not absolutely necessary. They are a version or two of macOS behind, and never update without confirming with the technician.
I shudder at the security implications, but I'm told it has become quite common after the trashcan came out.
I predict that MacOS's premier status will be disappear before Apple manages to lock it down. The Mac app development community is dying. Apple strangled it to death with the heavy handed Mac App Store sandboxing policies. Nobody wants to develop exclusive Mac apps anymore.
Featuring a used i7 3770k and rx580, it cost $200 to build and its CPU benchmarks were on par with the macbook pro i7 2017 but much more graphically capable (which is surprisingly noticeable when doing innocuous tasks like maintaining smooth animations when switching between desktops)