I have had no issues with Win10 updates thus far.
I have been using Win 10 for about 3 years at work because they ran out of Win 7 licenses and a lot of the problems i had with it had to do with updates. Here are some of them:
To get me some Win7 functionality back i installed a tweaker utility that changes a bit how the task bar works. That got broke by one update and needed reinstalling
To get more Win 7 functionality back i installed Gadgets from Win 7, a different update broke that at some point and after some fiddling about it started working again.
At some point a update made my Win 10 machine wake up from sleep due to just moving the mouse by a fraction of a milimiter. I fixed that later on trough the command prompt to disable sleep wakeup for all devices exept keyboard. Now about 2 years later my keyboard doesn't wake it up anymore all of a sudden, only the power button can wake it from sleep now. I still have to go and fix that.
I had a case where i had unsaved data when i left for the day and came back the next day to a empty desktop. It decided to do an update at night while in sleep mode without asking. Any programs that show a "Do you want to save?" dialog seamed to have gotten terminated when they refused to close so that the update could begin. This is functionally the same as getting a random BSOD that forces you to reboot. To disable updates i had to dig trough the registry and system services in order to kill it in a way that windows doesn't secretly re-enable them behind my back.
Once i came to my PC and had a completely different color theme set. When i went to select my old one i found out that its already set to it and selecting it again did nothing. Turns out i had to select a diferent theme, close the settings window, open it again and then select my old theme to get it back.
At some point i came to my PC finding the default web browser changed to Edge
At another point i noticed that Altium designer started showing multiple windows as two separate applications in the taskbar, this behavior seams to have disappeared by now.
Etc...