I think one of the main problems at the moment is that the item groupings are rubbish. I've been using the software for years and I still struggle to find certain options. Some stuff is in Advanced Multi-table Options while similar options are found under Table Display options.

I definitely agree that the new settings should have meaningful text descriptions, and while they did show us the Settings panel it was a very quick demonstration. Clicking on the Settings app made the whole lobby change to a settings panel with navigation down the left hand side. While I imagine this will mean there's way more space for choosing options and they'll be able to group them better, it's also going to be a pain to change anything in there when multi-tabling because it's difficult to find space to have the whole lobby open.