Because I play with friends, there is already a level of trust established. So if some of these words or issues come up, it’s enough for us to make a sarcastic comment, or have some side chatter and jokes about how dnd is colonialist, and then proceed to play. I think we instinctively steer away from certain kinds of graphic violence; as I said above my players aren’t really combat-first anyway, they’d usually rather negotiate or sneak or run away, etc. It’s not the end of the world when these things come up, but it’s helpful to be able to talk about them at the table, and would be helpful to talk about them as a hobby. I was glad that Van Richten guide had advice on running horror, for example, and sad to see that it was mocked on that account by some online.
I posted a Matt Coleville video in this thread (or another one on a similar topic…) about “the sociology of dnd.” In it, he makes a useful observation that the mostly likely way someone will respond to something that makes them uncomfortable is just to stop playing. They probably won’t want to disrupt your game or cause drama, they’ll just feel unwelcome and go away. I think those are the stakes of being aware or not about some of these issues. It’s not that anyone is barging into your game demanding that you stop using certain words or depicting creatures in a particular way, it’s just that some people will decide that dnd is not for them.