As I said multiple times before on this site, whether you justifiably hate Vivek Ramaswamy or not doesn't matter. He has enough appeal to normie voters to defeat Amy Acton. That remains what's probably going to happen. Normie voters don't have the same mental model of reality that Vivek's Twitter haters do. Personally I probably wouldn't even vote for him in the general* or the primary (Casey Putsch is an irrelevant loon), but the way I approach politics isn't the same as the way normal people do.
Vivek has a big campaign warchest, is already hitting Acton with ads, is showing off his support from police and firefighters and other working class Ohio orgs. That's enough for him to win the general.
*if I were in Ohio I literally might vote for Vivek against Acton just to spite the people online pretentiously claiming Vivek=MAGA=unelectable, as if Trump didn't break records in Ohio in 2024 for a Republican Presidential candidate in the last three decades. I might even do it to help show people that the Internet still isn't real life when it comes to politics because of the legions of boomers and gen x'rs who don't have the same outlook on life that extremely online millennials and zoomers do. Also let's face it a good chunk of Vivek's online haters in Ohio will still vote for him because they'll realize the opposition is just that bad.