Patch MSQ is a problem.

When you are at the end, patched MSQ is really welcome and enjoyable.

When you are behind and blasting through the expansions, patch MSQ is an inconvenience and makes it a slog.

They need to provide content that people at the endgame can enjoy, while being skippable or something to come back to for people who just want to progress.

Not saying they shouldn’t have MSQ but a lot of the patch stuff is filler. 5.4 for example, besides the closing scenes you aren’t missing much of the overall story if you don’t do it. There’s no reason the limsa stuff couldn’t have been additional sidequest content as at least currently it appears only to add extra context to things rather than be a crucial addition to the story.