Maybe they'll no longer show you as verified. Maybe your posts will be demoted a bit in the feed. Maybe you now longer show up when people search for you. Maybe your sub becomes quarantined for an obviously for an obviously false reason (facts don't matter). Maybe you see more captchas. Maybe pages start loading more slowly for you. Maybe for your subscribers. Maybe you wont be able to show ads. Maybe it's the comments that get revoked. Maybe your account gets frozen and all your funds stolen.
Most (all?) of those are actual things happening right now.