Sean,
I've always disliked courses where a particular hole, or even a particular feature can result in the ruination of a round.
I recall playing a difficult course from the back tees.
I had 17 pars and 1 bogie.
There was Out of Bounds on 9 holes, although some of it was not immediately adjacent to the fairway/green.
But, one of our group hit two out on the 2nd hole. Another hit one out on the 3rd hole and another on the 5th hole.
Imagine, if instead of hitting the fairway on # 2 or 3 or 5 that I hit one or more OB.
That would have ruined a really, really, really great round. So, for me, I'd relish playing a match on that course and dislike playing in a medal play competition.
Likewise I was playing the Medalist in Florida, had a great round going, but, hit two in the water, one off the tee at # 10, where I dropped my ball at the point of entry and was lucky to have holed out a 7-iron for a birdie, and another on # 15 where I wasn't lucky enough to hole out.
With the Medalist, you can be playing great, but, be only one swing away from an X and a ruined round.
On those type of courses, I prefer match play.
I'm surprised that you don't draw any distinction.