Unfortunately, I consider Acuna to have a similar risk profile to someone like Skenes at this point. Right ACL in 2021, then tweaked that knee again in ST and never looked quite right, then tore the left ACL. He might be permanently compromised. Or maybe AA shows some balls, bans him from playing winter league, and he's the top fantasy player in the league again.
I might have had tunnel vision with Skenes, but I think he's a top-5 dynasty pitcher, and I don't see why he can't have a Strasburg/Wheeler career. He checks basically every box that can be checked for me.