I have a secondary discord account I use primarily for streaming, It works pretty well and I haven’t had any issues.

I used to use the secondary account in a web browser and manually patch in the audio to it’s mic input with pipewire and a patch bay.

The main reason I use discord-screenaudio is because I’m lazy and it’s slightly faster than manually doing it; Also it allows you to actually have the audio come out from the stream like on the standard windows client, as opposed to using the mic input for audio.