This is why it's not particularly loved on HN, and this is also why the tech stack is nothing special (it's not bad, it's just not special).
What is special is the unbelievable product market fit. Engaged Pinterest users 1) spend a shitton of time on the app (hours a day) and 2) interact very positively with ads (this is VERY purposeful and part of the product first company style).
I think their recipe makes for a great company, but it's not the most fun for engineers to work on (those things don't always if ever correlate).
Even their github https://github.com/pinterest, elixir isn't even in their top programming languages.
It could be the secret sauce language kind of deal. Or they've moved away from it.
It is a pleasure to see you outside of elixirforum.
AFAIK, Pinterest rewrote the logic of their notification system into Elixir and also used it to rebuild their rate limiter.
This is the main piece I've seen open sourced: https://github.com/pinterest/elixir-thrift