This would only affect code that uses the old-school x87 floating point instructions, though? The x87 FPU unit indeed has scary global state that can make your doubles behave like floats in secret and silence.
I would think practically all modern FPU code on x86-64 would be using the SIMD registers which have explicit widths.
So it was a bit more pervasive than this, the issue was that flushing subnormals (values very close to 0) to 0 is a register that gets set, so if a library is built with the fastmath flags and it gets loaded, it sets the register, causing the whole process to flush it's subnormals. i.e https://github.com/llvm/llvm-project/issues/57589
I would think practically all modern FPU code on x86-64 would be using the SIMD registers which have explicit widths.