Refer to a previous discussion that I started at #2591358 under the Firefox basket that has been joined in on by @WCHS.
This appears to be an important enhanced privacy area for discussion, but seems to have been lost in the overall volume of posts within the Firefox basket.
If interested in whether you currently have this enhanced privacy feature activated or not beginning with FF118, start with the link above and work your way back here.
Below is a Wiki post that I just located discussing the FF Config Setting Preferences to utilize the ECH privacy and why.
Note: that even though I got ECH “to appear to function” with only 3 config changes, it appears from the article below that other settings are also important especially the settings pertaining to “grease”.
Again feedback from FF users would be helpful as to whether you received these settings automatically or whether not. Some seem to have, others not or not yet(?). As well as those with expertise in this feature area.