Yeah, I was very dissapointed by that as well. As far as I’m aware, the only time it matters is when
Act 3 spoiler
The Emperor offers you the Astral tadpole, if you used any worms you have to pass a check that grows harder the more worms you consumed to resist using it, if you abstained you can just say no.
Big shame that’s all that remains of this system.
Refresh rate is king. I would much rather use a 1080p 120+Hz monitor over 4k 60Hz. 1440p 144Hz is the sweet spot though, big visual improvement over 1080p without the need to bankrupt yourself on a GPU powerful enough to drive a 4k 120Hz display or relying on upscaling making everything a blurry mess.