The key in that is dowsized. Makes having an 8k stills camera silly if you just resize to 4k resolution. The files take up more room, need more powerful PCs/MACs to process etc and the camera costs more, and you have to use the very expensive lenses to make the most of the resolution. Lower res camera's do make life easier, you can use cheaper zooms, plastic fantastic amateur lenses and their imperfections don't show up, and even use older adapter optics - and you'll get very passable results this way. 24mp, or 12mp FF body - use what you like on it - it'll look good. On the new high res stuff, you really wind up using the pricey zooms, exotic primes and all that stuff costs a fortune. I think it's worth it - but for the more casual photographer it's a lot of money.
Money no object I'd shoot Phase One. I am a resolution junkie - technical perfection, pixel peeping, perfect corner sharpness really matter to me. I hate any technical imperfection. The idea of scaling back a 8k file horrifies me. I want to see it, and display it to its very best.
The high res cameras (I only exclusively have high res cameras) are fine in low light, you can pull oodles of shadow out and they are clean. But this applies at Base ISO only. The medium format is more flexible, you can get to ISO400 and have very clean files, even with significant processing. A D850, ISO200 is emergency use only, IMHO.
But look who they're aimed at. They aren't press/event cameras, they're for landscapes/travel/tripod use and they excel at this.