Loud and sometimes vibration-inducing. But this seems potentially feasible to mitigate through sound insulation (both on the train and on the buildings; frankly, our buildings should have a lot more sound isolation than they do).
https://news.ycombinator.com/item?id=39401709 mentions newer elevated trains generating less noise, by designing for that requirement.
> they bathe streets/sidewalks/buildings in permanent shade
And permanent rain-cover. Seems like it'd often be a feature for many, though a bug for others.