Is the difficulty to setup ox-publish the sole disadvantage vis.
ox-hugo/ox-jekyll/etc.? Is the functionality the same more_or_less?

What ox-hugo devs/users have to say on this?

I have never used ox-publish, but getting started with ox-hugo is really easy. I think the main difference might be that ox-hugo is tailored specifically for Hugo, which influences its expected directory structure, file output format, etc. Ox-publish might be more generic and customizable for arbitrary output formats.

--Diego