Sling and light mostly. My main concern with keymod is ripping out sling attachments. I've seen one rip out of a KMR. I currently have two keymod rails (on a BCM and a Noveske) and plan to replace both with comparable MLOK rails. If only to eliminate having another drawer full of another type of gun related crap (in this case keymod) out in my garage.
The fact BCM has relented and announced an MLOK rail shows the writing on the wall.
If you are talking about laser zeros that is more a function of the strength and stiffness of the rail itself and something better mounted on a 1913 rail. A Geissele will be more stable than a KMR regardless.