I hate the look of lights that stick out of the ceiling. I also hate it when they don't point straight down. So after arguing with my builder and electrician, they got these:
https://www.homedepot.com/p/Halo-H47-6-in-Aluminum-Recessed-Lighting-Housing-for-New-Construction-Sloped-Ceiling-Insulation-Contact-Air-Tite-H47ICAT/100599762
I started with cfl bulbs in them but they're running leds now. The first ones died early, so the leds are on one inch spacers to set them a little lower, but they don't stick out below the ceiling. I think they're par 20s or par 30s.
In the basement there's a lot of ducting, so I am using the surface mount leds that look like recessed lights but they do stick out below the ceiling. There's just a regular round box.