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MainWP is an incredibly powerful and useful tool for managing multiple client sites. It offers a staggering variety of administrative tools, and like any sophisticated system there is a definite learning curve.
I primarily use MainWP for managing plugin/theme updates across client sites, and for this activity it is very easy to use. I am currently exploring the automated client report tools, and this is taking a bit more tinkering. This tinkering is a positive aspect of MainWP as users are not short-changed on options and settings, allowing a very fine degree of control (if desired).
If you want a central admin tool for client sites that goes beyond basic update management this is the tool you want.