I outright refuse to do them. If I'm talking to a hiring manager already and they say I have to do one I'll tell them no, and I'll withdraw via email if they ask me to do that, I tell them it's demeaning. I'm more than happy to actually talk to a human, but I'm not going to sit in front of a webcam and act like that's normal.

I've been out of a job twice in the last 3 years thanks to layoffs, and I found a job both times relatively soon (2-3 months), and didn't feel like I needed to stoop to that. They are a wonderful red flag for companies I don't want to be at.

As an aside, make sure to grow your network, I get more roles from referrals and friends now than I do from resumes. Every job you have make some friends, play the linkedin game, and keep in touch with them, just popping in to say hello. That will go farther than you would expect.