I recently went down the AWS Gateway Load Balancer rabbit hole, and I've found it to be an interesting solution to some quite specific problems. There are use cases for it on ingress and egress where regulatory requirements, or more likely legacy skillsets, dictate that traffic passes through NVA-based network security appliances. The problem with NVAs in AWS is often the difficulty in scaling them. You need to distribute traffic, and typically you need a load balancer, but you can't use an ALB or an NLB because unlike Azure, the load balancers in AWS don't allow for traffic routing, so they can't be targets for route tables in the same way Azure load balancers can be targets for UDRs.