refactoring (select a variable name, select all instances of that name, change), and also 1 time pre-processing data
regex works great for me in vim
> 1 time pre-processing data
I use regex for this most of the time, and macros if it's more complicated. I think macros are actually quite a bit more powerful than multiple cursors because you can apply the same set of transformations between files (and without needing to match against a particular word or pattern).