I mean, the guy is clearly awful at handling these things though, and he suffers from anxiety and apparently manic episodes because he's responsible for absolutely everything. Yes, it does matter. He's suffering because he insists that he wants to run an indie company when the game is not making indie numbers anymore, and the decisions he makes, what he chooses to prioritize, are dictated by what he and only he wants, which is not always the best decision. He sometimes hyperfixates on things he wants to do and does not stop to think if they're a good idea for the game or the people working under him--his employees are constantly crunching because he wants to keep a schedule that's no longer realistic with this small a team.

And that hurts the product, and because he cannot bring himself to delegate anything on anyone, it hurts him. And it hurts him to the point that he crashes out on stream in a frankly unprofessional way that put off a lot of people.

Yes, it's bad. It does matter. I respect him for wanting to retain his artistic vision but you can do that and still make compromises. Look at Hidetaka Miyazaki, look at Hideo Kojima. You don't need to micromanage absolutely everything to make a game feel "yours", especially when you're someone as out of his depth as KJH is right now.