I remember hearing even all the Fedora-based atomic distros don’t use UKI, so they are vulnerable to initramfs modifications
This has been a thing for the longest time. But the situation has been changing since about a year ago. That work has eventually led to the release of so-called sealed bootc images. Which, in turn, has led (some) projects to start active development on that. From what I know, projects like secureblue are even dogfooding their respective UKIs as we speak.
So, we've come a long way and it wouldn't surprise me if many projects will ship their respective sealed images (alongside their regular images) before the end of the year.
However, there are some glaring issues that need to be addressed, most prominently of which is the loss of layering. Sealed images don't support layering and probably won't either. Of course, many different alternatives exist, including system extensions, creating your own custom image with those packages baked in, going the RakuOS-route and probably many others I'm unaware of or forgot about. But, AFAIK, none of the alternatives are as mature as layering has become.