My preferred way to play is with the latest PrBoom+ (not GLBoom) with the appropriate complevel, if I'm lazy I'll just leave it at 9 (Boom) compatibility. So this means very vanilla settings. But sometimes it's fun to use mods and all the modern stuff with GZDoom and just fool around, or play zdoom maps. Infinitely tall actors are not a problem for me after using it all the time since the very beginnings. I like how it makes things a bit trickier if you're fighting a horde of cacos up in the air and have to evade monsters on the ground at the same time.