In competitive Fortnite it seems like Epic is quick to permaban cheaters. Personally, in the last year of playing, I'm not sure I've run into more than a couple obvious aimbotters.
Aimbots are a form of obvious cheat. If anti cheat worked, they wouldn't be possible. The movement of the player input and accuracy is mathematically obvious. The problem is anti cheats aren't designed to prevent cheating, they're designed to sell a product that non programmers want to buy. Same as DRM. Somewhere down the list is actually having the anti cheat work, it's not the main goal.
But I guess Epic has games besides Fortnite.