I chose this motherboard as MSI offered a fairly good overall package of ports, I/O and connectivity with this product as Z790 motherboards go, although it's difficult to call any of them more than fair value for money since they are all expensive.
I did want a PCI-E 5 GPU slot, at least one USB 3.2 Gen2x2 slot, 2.5Gbps Ethernet, at least four M.2 slots and ideally Wi-Fi 6E, all of which this board delivers on. It's unfortunate that it doesn't have at least one PCI-E 5 M.2 slot, but all of the slots it does have are PCI-E 4, which is still good. It also has multi-channel audio out, which not all boards do around this price point. While other MSI motherboards do improve on many of these specs and offer improved VRM cooling, the additional cost is difficult to justify.
It's been reliable in operation so far and has worked as expected. I did once run into a strange bug where the BCLK settings disappeared from the BIOS and didn't come back until clearing the CMOS, but that hasn't recurred so far. It's also been pretty good at recovering from bad memory overclocks, nearly always rebooting with safe settings rather than requiring a manual CMOS clear. When that is required, the button on the back panel makes that more convenient than opening up the system.
If you're looking for a Z790 board I think this one is about at the sweet spot once you've accepted the already high entry prices, and I don't have any major complaints.