Andrei Alexandrescu wrote:
If 128-bit built-in integer can't be made more efficient by moving them in the core, then the question is really "do you need 128-bit literals?" because that's all the built-in feature would bring over a library.

The literals would be an issue, otherwise you get into the std::string problem where:

s + "abc"

works, but:

"abc" + "def"

does not.

If it's not built-in, you also lose the constant folding and math identity stuff.

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