What's new is how QAnon packaged and rebranded these disparate bigotries into a single narrative with Donald Trump as the messiah and made it viral, likely on the back of the general alt-right and neo-reactionary surge of support within Trump's base. But it wouldn't have taken off at all if that wellspring of hate in America's core hadn't been there to tap, and there weren't already plenty of people who would have found the general premise of, say, Hillary Clinton drinking the blood of child sex slaves, to be reasonable to begin with. You don't convince people to believe that sort of thing who aren't already halfway there.
Nor was that the idea of the "New World Order". Globalist elites? Sure. Secularism and leftism? Yes. Conspiracy? Absolutely. Pedophilia and satanism? No.
Maybe "many" is an overreach, but those beliefs were definitely present well before Pizzagate and Qanon.
(And, I suppose, it took enough susceptible people who believed this drivel...)