The non-ceremonial stuff is PR and goodwill for the UK. She's essentially fostered economic cooperation between the Commonwealth for decades. That has been quite important and should not be understated. The American view that her duties are fluff is a lazy take.
I saw that Prince George is third in line. I wonder how that would work if he ended up a child king? In that case, I’m guessing he would just be doing what he’s told to do.