They don't care. They generate large amounts of these, spam them out, and hope for some small success. If they get banned or blocked, they make new accounts. Shame isn't even a factor; it's all about money. They don't even attempt to understand or care about a product.

This was partially the case before, where you'd still get weird spammy or extortive reports, but I guess LLMs enable random people to shoot their shot and gum up the works even more.