I’m not sure that you lose anything. Ultimately it’s just a matter of which engine is being used for type inference, and it sounds like JetBrains is admitting that the one from the language server — which is always running even if it looks disabled for a few reasons — is better than their own based on this comment from JetBrains:
We are currently working mostly on WebStorm with the enabled “Use types from server” / ”Service-powered type engine” (new name in 2025.1)
All of the other TypeScript IDE capabilities should continue to work exactly as you’d expect with that option enabled.
Regards,
Scott Wells