65W would represent about a 30% increase on my average electricity usage or about £15/month, probably more later this year. HA is the only thing I run locally, and I mainly use it to save energy - also for watering plants and scaring foxes out of the garden.
I know it isn't going to be pegging at 65W but if it's anywhere in the vicinity, it's cheaper to use AWS instead. I used to have a server that I used for Plex/HA, but in the end the energy cost was higher than a Netflix subscription. I could have upgraded it to more energy efficient hardware but it would have taken years to pay off.
I agree - a used corporate small form factor PC from the likes of HP/Lenovo/Dell has tons of power for HA and can still be had for a next to nothing. They also sip power - under 10W at the wall at idle.
Raspi is fine when you're still setting it up, but not worth the hassle when it breaks.