After my stroke 3 years ago, I find myself in a place meeting accessibility. So the icons are helpful. I cannot necessarily read the text.
The first time I noticed that is the time I needed to operate a Finnish Windows machine and I could get it working pretty good by sheer memory
I find icons helpful to visually anchor things in the menu. It can be noisy when there are 5 identical "paste as" icons but generally I see it as a positive