Downloads is the only folder on your Mac that grows on its own. Installers you ran once, screenshots named Screen Shot (47).png, ZIPs extracted and forgotten — a typical two-year-old Mac carries 20-60 GB in there, and Storage settings buries it inside "Documents" so you never see it.
_Keep, _Archive, _Delete. Drag everything into one of the three. Anything you hesitate on goes to _Archive (decide in six months, or let it go then).One Smart Folder does most of the remaining work: Finder → File → New Smart Folder → kind = Disk Image, created date > 7 days. When it shows items, they are dead installers — delete without opening. For deeper recurring hygiene (chat caches, dev caches), the guides on this site cover each location; Slack/Discord and Telegram are the usual giants.
If Storage settings claims your Downloads are small but Finder disagrees, macOS is counting parts of it elsewhere — the mechanics are in System Data explained. And when you want the whole disk mapped visually instead of folder by folder, that is what DaisyDisk and friends are for; the estimator tells you first whether it is worth the trip.