I use KeePass and have a local kbdx file for this reason - imo LastPass and the like are a huge target. This does require a lot more work since you have to manage keeping a file in sync on your laptop/phone/device and literally cannot get a password without one of those near you. (I have obscene overkill settings for encryption and key transformations in case I lose a device and someone tries to brute-force).

one thing that is without dispute is that a password manager will not reuse or slightly vary the same password which is what human beings pretty much always do.

also some popular ones have integrations for reissuing credentials for major sites. in theory if there were some huge compromise you change your master key and reissue as many pw automatically as possible. then focus on the ones in the list that you know have your credit card saved or are essential for other reasons (npm credentials). you also literally have a list to go down at the point anyway. what is the alternative scenario if your 'same password everywhere' pw is compromised ... try to remember which websites you use and might be the biggest issue and literally manually change every single one?