Most MC cartridges also have a fine line stylus shape. That makes them a bit of a pain to set up properly, but once you do they track better because the ride lower in the groove than a wider shaped stylus would. They also tend to be quieter, if you records are clean.
Phono stages - tubes vs solid state. Solid state stages can be just fine, and are generally less expensive than tubed stages. They also can have a higher output, allowing you to use a low output cartridge without a step up transformer. Tubed stages are pricier, and generally don't have enout output for a low output cartridge, meaning you will need a step up transformer or head amp to boost the signal from the cartridge.
Personally I love the extra beauty and spaciousness of a tubes phono stage. As for adjustability, you don;t need any with a moving magnet cartridge, but with a MC you have to be able to set the appropriate resistance loading for the cartridge or it won't sound right. That is generally done in the phono stage or the step up device.
Yes, it gets complicated, and expensive.
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