While adblocking has gotten most of the focus, it isn't the only functionality that is being limited or made more complicated. One of my favorite extensions is still not available for MV3 because of complications: https://github.com/openstyles/stylus/issues/1430
At least when I last tested, Vivaldi on Android's adblocking is pretty far behind uBlock Origin -- it doesn't get nearly as many anti-adblock interstitials as it should.
It blocks trackers, which means ads usually get caught up in the net. It's anyone's guess if the ones that makes it through aren't tracking, or are successfully evading (I'd wager the latter).