I’ve been hand loading for 46 years and as other experienced hand loaders have mentioned in the majority of cases case cleaning isn’t required.
There are exceptions.
Cartridges loaded with black powder will last forever (I’ve been using the same 100 cases for black powder loads in my Sharps for 20 years and counting) but the black powder fouling needs to be removed with a wash in plain old soapy water and then a hot water rinse.
Similarly, there are some heavy walled long bodied magnum flex cases that size a little easier if the cases are clean.
For many bottle neck cases, the expander ball passes through a clean neck notably smoother than it does through a dirty case neck.
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I started out wet cleaning as I couldn’t justify the expense of a vibratory tumbler, and at the time wet cleaning didn’t involve ultrasound.
I’ve used vibratory tumblers now for over 30 years, and they are fairly slow, but also low effort. I address “slow” by having three of them.
There are two sides to tumbling with primers in versus out. As noted tumbling with the primers of has some potential for lead exposure as any residue from lead styphnate and lead peroxide could become loose and trickle through the flash hole.
But that can be mitigated by reactivating your media with a polish additive often enough to keep the dust down, and/or wearing an N95 mask or respirator when emptying the tumbler.
That same risk is much harder to mitigate with wet tumbling, if you are handling the wet cases at all without latex or rubber gloves.
Decapping before cleaning mitigates the risk as well. It makes it easier to dry the cases with wet tumbling and it cleans the primer pocket with wet or dry cleaning.
However dry tumbling decapped cases can result in cleaning media (corncob or walnut) getting stuck in the flash hole. If you don’t check for that you’ll break decapping pins.
I’m also middle of the road on the concept that cleaning makes case inspection easier or more effective. For the most part, no. The bright line of an incipient case head separation is much more evident on a dirty case than a clean one. The dark crack of a partial separation is just as easy to see on a dirty case as a clean one. Neck and case mouth cracks might be slightly more obvious with a clean case, but the difference isn’t significant.