My experience of lemmynsfw the past few days is log in and progressively block all of the new communities specifically dedicated to individual people. Just blocking one user won’t do much if other people start posting there. At this point they must be half or more of the communities on the instance.
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It has nothing to do with which feed to watch. Especially with a (comparatively) small instance like lemmynsfw.com. One poster on a single community can dominate the Hot feed for an entire day. The problem is when it's one user, making a hundred communities, where they only post a handful of images, and they're the only person contributing, it becomes whack-a-mole with blocking the communities and also you have to wonder if that content wouldn't be better spent concentrated in communities which can sustain more than say 10 images.
There's nothing wrong with the content. But that's what the celebrity, celebrity NSFW and porn star subs are for (which he also moderates??). Spreading it out like this just hyper concentrates power to one dude and makes vastly more work for both people who want to see that content (more subs to subscribe to) and people who don't (more subs to block). He currently moderates 109 communities and swears he's been deleting the inactive ones.