I don't like them, because they contain all sort of crap, that never even enters my projects, but they don't include things they should include, like the silly ".vscode" folder so many people commit without thinking. Also usually using these templates one avoids thinking and knowing what is ignored, until one accidentally commits something special to the project and boom, creating a huge hassle.
You need to merge the relevant ignore files to create one specific for you, so if you use VSCode on macOS VisualStudioCode.gitignore (e.g., .vscode) + macOS.gitignore (e.g., .DS_Store). There are files for other OSs and editors as well. Technically their README says that the Global folder is intended for user-specific ignore files. But you can still use them for the repo .gitignore.
