I didn't play at a super high level but low shot games are the absolute toughest IMO.
The comparison I've always made to friends is that a high shot game vs a low shot game is like the difference between hammering your golf drives straight at the driving range vs keeping them straight on the fairways on the golf course. At the range, you get in a groove hitting one after the other and one or two slices mixed in doesn't really bust your groove. On the actual golf course, where you get 14ish drives (not counting the par 3s) 8-14 minutes apart, it's a lot harder to keep those shots straight. No one blinks at 3 goals on 40 shots even if two are softies. VV gave up two pretty unsavable goals on 12 shots which were all like 10 minutes apart in real time.