When compared to Python or Elixir web frameworks? Yeah, there's more ceremony. To anything else? Not really. Some people don't like heavy and pretty much required usage of dependency injection in .NET world but I never really understood those arguments.

The ceremony and boilerplate got reduced a bit with the newer versions of ASP.NET - you can definitely write clean looking WebAPI code without much ceremony.

The newer idea of middleware pipelines in ASP.NET do a good job of hiding some boilerplate and there are even libraries like Flurl or Polly (which is now officially a part of .NET, itself) that reduce the code you have to write for things like http requests and resilience policies.