There are advantages to the lack of application state, though. Memory leaks and similar bugs became largely irrelevant, for instance. Regarding performance, a simple LAMP stack on a dedicated machine can easily give you <250ms pageloads for many web apps. If that's not fast enough, or you're averaging dozens or hundreds of requests per second, you're probably big enough that you can use parallelization or more exotic architectures to speed things up.

A simple LAMP stack can give you <1ms page loads for most applications. Even 15 years ago you could serve over 100k/rps of lightweight PHP pages from a low end server.