You keep a spare somewhere. Everything that does U2F IME allows you to register at least 2 tokens.
We debunk this often several times per week on HN
Yes, AWS doesn't allow you to enroll more than one FIDO authenticator. No, AWS isn't "most" services, in the same way that Jeff Bezos isn't "most" people. When you mean "AWS" just say "AWS" not "Most services".
I have multiple Security Keys enrolled with, among others, Dropbox, Facebook, Google, and GitHub.