FWIW, I've been a kind of sysadmins for couple of decades, then ops manager for 5. After supporting multiple production streams, good and organized and consistent processes are an absolute must for me (as opposed to random wild west and utter chaos sometimes we techie prefer :-)). It is my understanding "premise of function they support" is organized work flows - standard and "let's not reinvent the wheel badly" ways to manage and report on incidents, service requests, etc. And hopefully do some trends and reporting and categories and whatnots.
So I don't know if service now does that well or poorly... But what in there do you "loathe"?? It may not be your cup of tea and you'd rather develop freely, and fair enough, but somebody somewhere has to support large productions and large numbers of users and need tools better than slack and emails to do it... :-/