This is an edge case as much as building a rasterizer directly into the terminal is an "edge case".
The fact that a random commenter on HN used a non-monospaced font with refterm actually makes it a use case.
I do, however, agree that it is an edge case with a very low probability.
The Microsoft terminal doesn't render monospaced fonts, the overwhelmingly common case, nearly as fast as refterm. If rendering variable-width fonts is somehow intrinsically insanely expensive for some reason (which I haven't seen anyone provide good evidence for), then a good implementation would still just take refterm's fast monospaced rendering implementation and use it for monospaced fonts, and a slower implementation for variable-width fonts.
That is - refterm's non-existent variable-width font rendering capabilities do not excuse the Windows terminal's abysmal fixed-width font rendering capabilities.
Also, it's worth noting that this isn't a compelling argument in the first place because the windows terminal doesn't even come close to rendering readable Arabic, it fucks up emoji rendering, etc – all cases that Casey was able to basically solve after two weekends of working on this.
Windows Terminal, for some reason, gives users the option to change their font to one that isn't monospaced, so I'd argue that it should render them correctly if the user chooses to do that.