Snarky or just know a lot? It changes quite a bit how the compiler works. It has to know to make sure malloc gets the array element size argument multiplied in runtime by n. To a mere user it broke my mental shorthand of how a C compiler works.
so you can have "char *y = malloc(sizeof(x)); memcpy(y, x, sizeof(x));" and it must work since C89 at least. The main problem with VLAs is that they make exact the stack frame size unknown until runtime which complicates function prologues/epilogues but that's the problem in the codegen part of the backend, the semantics machinery is mostly in the place already.
P.S. And yes, uecker is a member of the ISO C WG14 and GCC contributor, according to his profile.
I think there is a real difference: in the static case, the compiler can just recurse into the type definition at any point, compute fully-baked sizes and offsets, and cache them for the rest of the compilation. But in the dynamic case, you end up with the novel dataflow of types that depend on runtime values, and more machinery is necessary to track those dependencies.
Of course, this runtime tracking has always been necessary for C99 VLA support, but I can easily see how it would be surprising for someone not deeply familiar with VLAs, especially given how the naive mental model of "T array[n]; is just syntax sugar for T *array = alloca(n * sizeof(T));" is sufficient for almost all of their uses in existing code. (In any case, it's obviously not "creating an object on the heap" that's the unusual part here!)