There is no alternative really. Cursor was the market leader in LLM-assisted IDE experience before SpaceX acquisition, though Elon nerfed the product a lot in recent months. And there is still no good alternative to it. Google tries to compete via Antigravity, but that also uses OpenVSX. I myself use Cursor and use Claude there installed via OpenVSX, and was not affected only thanks to my laziness (I saw upgrade button, but became distracted and did not click). I hope this situation will become a trigger to improve OpenVSX security.