If your question is "classic" amplification vs "modern" class D, I have one anecdotal experience with one of my customers who measured FR and distortion from his speakers powered by my stereo Purifi on one side, good old class A monoblocs on the other side.
Amplifiers of equivalent power, level matched at 1 kHz, very well designed listening room.
Basically, the FR and distortion were almost the same above 150 Hz. But my amp was allowing 1.5 dB more on the whole spectrum below 150 Hz. So completely different sound balance at the end.
The beginning of your statement is true, even if a bit of attention is needed when integrating these modules and complying to various regulations requires a lot of work. The end is completely false. Getting a high performance class D requires a lot more engineering than a high performance class H. This is why only 3 to 4 companies are on the market supplying both minor and major OEMs.