I feel like that can't be true. It's different. There are other schemes to make a document store just as fast. Not the same as SQL databases.

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they don’t have a consistency model

That's not really true. Oob it's configured for high availability and flexibility. But you can configure read write concerns to control how many replicas must acknowledge a change before it's considered successful if you need more consistency.

That's just the nature of a document store vs a relational db.

you can build a document db with strict serializability and you can build a relational db with the consistency model of mongo

having strict consistency does not require trading off high availability or flexibility

mongodb does not fsync by default so if it crashes it can lose “written” data

it is a dynamo-type DB, but objectively worse