Simple answer: PoW. It's the only metric that can't be gamed and for which there is no need for consensus.
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What if we replaced follower counts with some other addictive metric in Nostr clients -- but one that was specific to Nostr and could actually work reliably and not be gamed?
(No, I am not talking about zaps, these can also be gamed, and this is not a trivia question, I don't have any answers.)
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