Compilers can often recognize idiomatic implementations of intrinsics in languages where it is not part of the standard library, doing the appropriate substitution at compile-time. This has the advantage of being highly portable to environments that either lack the intrinsics or don't recognize the idioms without conditional compilation. This typically requires a little experimentation with Godbolt or similar to identify idiomatic C expressions of intrinsics that are consistently recognized across most/all popular compilers.

That said, the reduction in diversity of target platforms, at least on the server side, combined with convergence of language extensions support in compilers has made this less useful than it used to be. I mostly just used builtins and intrinsics these days.