It doesnt take long, and at least it gives people an option to show support. but unless you hit a homerun, you won't make anything even worth cashing out, and then you need a paypal to cashout which you do sort of have to jump through hoops to setup an account there. Also, because Itch isn't based in my country, I got a call from a bank or govt thinking my identity was stolen. I likely wont cashout any money I make here, and I hope it's possible to just use that money to buy other games on the site (havn't tried yet)