Erlang and Elixir (and likely any BEAM language) give you:

1. 99% transparent parallelism and concurrency. I can’t stress enough how important this is and how I spent 15 years of my career trying to emulate this trait in at least 5 other languages (and failed like everyone else who tried the same).
2. Lag-less operation: spawn 50_000 tasks and the runtime will give them all a fair treatment for as much as the hardware allows.
3. Pre-emptive scheduling. No single task can slow down the others.
4. Ability to structure your software as a tree of tasks and supervisors, with the supervisors restarting tasks if they fail. The so-called fault tolerance. This is EXTREMELY underrated and people usually come looking for this in Erlang and Elixir after suffering in other ecosystems for a long time. I haven’t met a single new programmer who is able to appreciate how much of a productivity boost and a reducer of stress this feature is but oh well, what can you do.
5. Elixir-specific: macros. Basically code generators at compile time. Another vastly underrated productivity booster.

While other 30-year old languages like OCaml are still struggling to even produce a working multithreaded runtime (hope it doesn’t take them another decade to make an actor runtime!), and others like Rust are just now laying the foundations of a solid asynchronous multicore runtime (and Go never being that impressive in that regard to begin with), Erlang has been enjoying a multicore pre-emptive runtime for 20+ years, long before mainstream multicore CPUs even existed.

Many programmers underestimate these aspects, to their peril.

Elixir is one of the secret weapons in the programming area.

The parentheses give you the simplest most consistent syntax. That Elixir is lacking them makes things more complicated.

Clojure is in my opinion a wonderful language (like many LISPs), that shares quite a few things with Elixir: both are functional without being pure, both are dynamically typed but support some tooling around enforcing types, both rely on immutable data structures, both have powerful meta programming in the form of macros written in the language itself, and both are compiled into an intermediate form, making them especially powerful for long-running programs, less so for scripting.

Apart from the differences related to the JVM versus the ERTS, that others have mentioned, I would also mention some differences in the focus and practices of the community:

• Elixir and Erlang are designed from the ground up to allow for concurrency through the actor model (Erlang processes). While it is completely possible to write concurrent software with Clojure (for example with channels), concurrency in the Elixir and Erlang world is a core value that permeates the design of the language and its libraries.

• The Clojure community tends to promote small composable tools over frameworks. While Elixir also places a lot of value in small composable modules, its community also provides high quality frameworks like Phoenix and Ecto. This is totally subjective, but I personally like Elixir on this aspect.

At the end of the day, there is virtually nothing practical that one language can do and the other cannot, and they have many similarities, but they do have slightly different “core values”.

On the point of syntax, apart from the old jokes about parentheses, I learned to be mindful of familiarity bias: what looks strange and difficult to understand is not necessarily objectively worse or less readable. If a syntax is consistent and minimizes special exceptions (and that is certainly the case with LISP), it’s often just a matter of getting used to it. After learning and loving very different languages, I now consider “syntax looks strange to me” not a good reason for dismissing a language.