installs all those things and sets things up properly on a standard fedora install?

That’s exactly what all universal blue images do. It’s just that setup is done every single day in github from scratch and stamped out as an image so that the end result gets to your computer as a finished deployment artifact. Leads to better update reliability, built in rollback.

The biggest benefit is that it’s easier for a community to fix the fast moving gamer stuff as a config layer on top of a distro that’s delivered this way than me having to manually figure out what component of my gaming setup changed that week.