X has two user feeds controlled by tabs at the top of the screen. The "For You" feed is the algorithm recommending high engagement posts to you. This is mostly accounts you follow but it's also highly interacted with posts. Love him or hate him, Elon's posts get massive engagement so naturally it gets recommended a lot.
Even if you have never personally engaged Elon's account, if the algorithm sees the people you follow have engaged with a post, it will be put into your "For You" feed. Same is true of posts from any user. This is not something specific to Elon.
The other feed, the "Following" tab contains content from only the people you follow. The "Following" feed is also chronological which is super nice and a rarity in today's algorithm driven social media world.
So if you're seeing random posts, chances are you're reading the algorithm feed, not your Following feed.
What it would do is allow Elon’s feed to show everyone, and not have holes in it from people who have blocked him.