If his BS was tried in non US courts the decision would be different. In the UK we have a fuck nugget called Lawrence Fox (a meh actor) who's fully unboard the same far right train as musk, he called a drag queen and another actor paedophiles after they called him out for racist comments. The two people sued him and won in the court, in fact his defense was a disaster because he regurgitated far right BS and claimed he was the victim.

Proving the defamation lead directly to damages is hard.

That's a weird way to spell "creates and perpetuates"