Yes. It’s so you can maintain a consistent style in your code base even if your dependencies use different styles. Nim has excellent C/C++ interop and it’s relatively common to interact with C or C++ symbols directly, and being able to do this without needing to adopt the dependency’s style or wrap everything is nice.
In python, for historical reasons the logging module uses camelCase while most other modules use snake_case, so it isn’t really possible to use the logging module and maintain a consistent style. This is a non-issue in Nim.
The downsides of this approach are unfortunately that it makes wrapping certain low-level libraries an absolute pain in the ass (especially anything to do with keyboards). But overall it's a non-issue, tooling recognizes both styles and you don't notice it.