That’s a great question, but i think an even better one would be: how is AI appointment setting “spam” different to human appointment setting “spam”?

The thing is that Sarah isn’t a mere outreach tool where you just keep spamming people with standardized messages until they either reply or block you… Sarah should be considered exactly like a human in the sense that it not only outreaches but actually converses. So to answer your question - it’s different from AI generated spam because it’s not spam. Unless you consider humans reaching out to you to promote a service “spam”.