Here's another classic example:
https://www.elektronaut.at/nes-gamepad-dimensions-pictures/624Note the carbon pads for pushbuttons as well as pull-up resistors. (Also note the complete lack of a bypass capacitor on the logic chip -- CD4000 at 5V is painfully slow, and it's not very surprising this worked even with the long (10ft?) cables on these!)
Don't know if they can be laser trimmed on PCBs; maybe needs a fast pulse type to ablate/atomize rather than burn material away?
Hybrids can also use metallization, usually vacuum deposited on the substrate, then etched, then laser trimmed.
Also note the multiple layers, like the crossings with an extra blob of glaze (insulating glass) between them. A kind of multilayer PCB no less.
AFAIK, hybrids never really got cheaper? They've always been something of a mass-production item, hard to prototype. Or, really, I suppose they're easy to prototype in that the materials are readily available and the techniques are easily executed, but just that the amount of hand work put into the preparation, printing and finishing of them is much more than you'd expect, compared to PCBs? Also not like wirebonding ever really became a small-shop thing, but plenty of hybrids are made with solder or conductive epoxy so that's not a problem.
You can actually get ceramic PCBs from a number of online suppliers nowadays, though I haven't quoted any to see what kind of cost, quantity and lead time they offer. I suppose it might be an interesting option for stuff like LEDs and small power modules; or multilayer metal-core PCBs, to the same end (which are also fairly reasonably available). I mean, assuming the ceramic is reasonably conductive -- if it's 99% alumina it should be alright for heatsinking purposes, not great but alright.
Tim