121 countries are unable to make PSN accounts, which means that they are unable to use the PlayStation Store. In a digital-exclusive future—which looks likely for the PS6 after Sony announced plans to cease production of game discs in 2028—that means everyone in those countries will be locked out from purchasing titles on the platform.
I hope someone cripple their security, then people living in those 121 countries can grab a jolly roger and help fuck them over, since they always sell their hardware at a loss anyway