The problem I could never solve was the speed, and from reading the paper it doesn't seem like they managed to solve that either.
In the end, for my work, and I expect for this work, it is only usable for pre generated terrains and in that case you are up against very mature ecosystems with a lot of tooling to manipulate and control terrain generation.
It'll be interesting to see of the authors follow up this paper with research into even stronger ability to condition and control terrain outputs.