I've come across maybe a handful of books among GR automatic recommendations over the few years I've been there that I've added to my TBR or wish list. Amazon's recs and "people who bought this also bought that", while not wonderful, have proven to be a little more useful.
As said above, Goodreads does offer a multitude of other ways to get recs - find people to follow or friend (you don't have to friend someone with a public profile to follow their reviews) and see what else they've rated highly - the GR "compare books" feature is a handy way to see at a glance how much you have in common with someone. Check the reviews of books you've enjoyed, find people who've rated them highly and have posted enthusiastic reviews, check what else they've read and enjoyed.
Listopia lists have also been more useful to me than recs - they don't tell me if I'd like something, but they'll give me more titles in similar genres to check. And a lot of people find groups really useful.
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