OP,
Huge design time. Painstakingly swapping many different kinds of capacitors, resisters. Remember break in of hundreds of hours.
Higher tolerances on all materials and construction. You can’t just throw it over to China to a contract manufacturer.
Far greater testing. Boulder has a big breakin room where they run their amps full power until too hot to touch, for days.
Usually greater effort in aesthetics… something that requires some one with real talent, not a high school student.
Lower volume production.
in other words huge investments… and it’s sound must be commiserate with the price… and match the sound and aesthetic requirements of their clientele.
Hidely risky endeavor.