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Well, what one can do vs what I do are different questions.
Most will look for non-IP ways of identifying a user, such as storing tracking information in the client (local storage, cookies, timing information via CSS leaks), or by fingerprinting clients and using that to de-anonymise visitors regardless of IP.
These are effective, and easy to do.
I philosophically am against intrusive tracking... so what I do... is just ban people and consider it a cost exercise. Their effort to register email addresses and post spam exceeds mine to ban them.
He's discovered VPNs, damn him!