Not GP, but: not confident. How confident would I be to avoid a (slightly lower entropy) UUID collision while also avoiding a clock desync landing on the exact same logged millisecond? Very, which is how confident I was about not encountering an UUID collision before this thread, so very++ I guess.
I just read UUIDv7, something I wasn't familiar with until now. That does address everything I had in mind yes. I assumed timestamp-uuid meant purely based on the timestamp precision, in which case you can get conflicts if you don't have a reliable clock across your system.