My issue with extruders (and I have had one for three decades) is that you have to make “different” pasta dough. Drier, ideally more semolina, and the texture just isn’t as good as what you can make by hand.
So if you need to make something only an extruder will do (i.e. you can’t cut/shape it by hand), my feeling is that you’re just as good buying dried. Not saying you can’t make it a bit better, but I much prefer hand made and haven’t used my extruder in years.
Nope. I really like what I can do with pasta via sheets from the roller (different flavors, colors, etc.) and have not been motivated to reengineer it for the “way too finicky” extruder. Love fettuccine, ravioli, lasagna, tagliatelle, tortellini, and so many more shapes I can cut/shape by hand.
Spaghetti, linguine, and other extruded stuff like macaroni I don’t do much, and just buy dry if I really need/or am too lazy to make (which is why the extruder is pretty much just gatering dust).