I don't know about C#, but at least in Rust, one reason is that normal (non-async) functions have the property that they will run until they return, they panic, or the program terminates. I.e. once you enter a function it will run to completion unless it runs "forever" or something unusual happens. This is not the case with async functions -- the code calling the async function can just drop the future it corresponds to, causing it to disappear into the ether and never be polled again.
I don't know about C#, but at least in Rust, one reason is that normal (non-async) functions have the property that they will run until they return, they panic, or the program terminates. I.e. once you enter a function it will run to completion unless it runs "forever" or something unusual happens. This is not the case with async functions -- the code calling the async function can just drop the future it corresponds to, causing it to disappear into the ether and never be polled again.