That's at least the explanation I've heard many times.
Account says buy bitcoin - user checks history and sees 7 year old account with thousands of posts, many highly upvoted, so assumes source is sane and not astroturf.
I.e., the thing you have just stated is exactly the thing we’re trying to figure out.
For others, they do it because getting upvotes and reddit awards makes them feel good. They see themselves as community pillars. I suppose this kind of feeds into the above reason in some ways.
If you check /r/games today, you'll see one user is responsible for over half of the submissions. Such accounts are what I mean, where unless they have fine tuned a bot to such a degree, they're really just someone with a little bit too much time on their hands.
I notice a lot of talking past each other in only tangentially related comments. Lately also here on hn.