Yes you can also get breakpoints and some interactive debugging with the VSCode plugins. But its just not even close to the full interactive debugging of e.g a fully supported lang in Jetbrains. This is very much down to personal preference and I know that there is very powerful debugging and tracing facilities in Beam/OTP
For me, debugging was always too slow in JetBrains. I don’t know if it was a result of the IDE or the language (Python) but I would always end up using print statements instead.
With elixir reloading a single module is fast because of the functional architecture so I can at least drop down into the REPL instead.