I'm a web dev, not a site operator, but my experience with RocketGate, Epoch, CCBill, and PrimeOrange has been very straight forward. All of them have really decent development support and they answer questions pretty quickly.
I've implemented all of their platforms in a variety of ways. I think RocketGate is probably the easiest to use, but that has a lot to do with their SDK, which is freely available on Github. It's pretty comprehensive and they can provide direct solutions if you need to use it outside of the ways the tests are written.
From a business perspective, my clients haven't had anything negative to say about these four. Merchant accounts are difficult to setup and costly, but high risk banking is generally going to be annoying no matter who you go with.
AI content might cause some conflicts with MasterCard or Visa, but that wouldn't be the processor's fault.
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