For a monster Ramy is pretty darn aesthetic. He doesn't have stomach distention and he isn't missing any body parts.
Compared to his quads, it looks as if he's missing calves. But, Ronnie Coleman was that way for much of his career.
It all comes down to conditioning. If he's super-ripped, he wins. If he isn't, he'll lose to guys like Curry or Heath (although with Heath's waist issues, courtesy of his hernia, I'm not 100% sure about that).
Curry looked better at the Olympia in 2020 than he did when he won in 2019. But, Ellsbiay was just too much beast for him.