You basically can, can't you, with it's robust blocking features and feeds?
Personally, I've found bsky has a far healthier culture than Twitter, even before Musk turned it into his own personal megaphone/therapist and neo-nazi safe-space (and I follow a lot of political accounts)
The lack of payouts for engaging posts and the robust blocking really does change the incentive structure over there. That twitter-style toxic engagement-bait type posting doesn't get rewarded as much.
There are some far-left groups there who are very toxic and will harass some people, but they are easy to block. Most of them seem to block people at the drop of a hat anyways, and so end up in their own isolated bubbles.