i belatedly came to this realization that this is a common problem for all hosting (CDNs, because free bandwidth, and CI/CD, because free compute, and anything that offers free storage) companies. I call this the PCN problem - free tier hosting for anything means you eventually have to deal with Porn, Crypto, Nazis.
everyone handrolls prevention measures, i once proposed an industry council where we swap tips, but everyone views it as competitive advantage for some reason so it didnt go anywhere.