Because in an open drain configuration an output transistor can do two things:
1. Not drive the output.
2. Drive the output to ground.
The high level is ensured by the outside pull-up resistor.
There will never be a conflict of levels. If either of the devices drives the line low, it will be low no matter what others are doing.
In a push-pull configuration the output is actively driven, so if one device decided to drive high level and another one decided to drive low level, there will be a conflict. The end result is unpredictable and depends on the exact design of the output stages.