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Most of those artsy keycaps that I’ve seen go do their blingy design and then encase the whole thing in clear plastic shaped like a regular key so that it doesn’t have a weird shape.
Example:
https://www.keychron.com/collections/artisan-keycaps/products/magic-animal-resin-artisan-keycap
Eh that depends a lot especially not frequently used keys like esc are off the roof in shapes F1-12 following after. Only if it is a key intended to be used somewhere else it is in the very profile