The Mod Helper Program is a tiered system that awards helpful moderators with trophies and flairs. Reddit users accrue karma by receiving upvotes and awards, and lose karma if they receive downvotes. The program rewards moderators who receive upvotes on comments in r/ModSupport
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The fact that people are still using Reddit instead doesn’t make it “not a full alternative”.
It’s a perfectly adequate alternative that will take time to continue to gain more users. Reddit didn’t become a monolith overnight. I used it for probably 10 years before it became mainstream.