Now BEAM is far from the only runtime juggling that many processes, but it remains a relatively slow VM. I rule-of-thumb it at 10x slower than C, making it a medium performance VM at best, and you want to watch your abstraction layers in those nicer languages like Gleam because further multiplicative slow downs can really start to bite.
The first serious Go program I wrote was a replacement for something written in Erlang, there was no significant architectural improvement in the rewrite (it was already reasonably well-architected), and from the first deployment, we went from 4 systems, sometimes struggling with the load spikes, to where just one could handle it all, even with BEAM being over a decade more mature and the Go clustering code being something I wrote over a few weeks rather than battle tested, optimized code.
BEAM is good at managing concurrency, but it is slowish in other ways. It's better than the dynamic scripting languages like Python by a good amount but it is not performance-competitive with a modern compiled language.
Additionally, high-performance Erlang/Elixir systems often delegate compute-intensive work to NIFs (native implemented functions) in C or Rust, or use ports to external services.
The point of Erlang/Elixir is that it is as performant as possible, and Erlang's history is a testament to this. BEAM is wonderful, and really fast, along with the languages on it being ergonomic (OTP behaviors, supervisors, etc.).