I think it should be understood that Yog Sothoth was born out of fiction, or rather, the fiction created by Lovecraft which was derived from his dreams. He was a vivid dreamer and there is a valid argument that he was liasing with forces beyond his comprehension. Whether you believe this is up to you.
Lovecraft gained popularity within occult circles largely due to the works of Kenneth Grant. The argument here is that these beings and their names are simply other faces or expressions of the same primal forces which humanity have called gods for millenia.
There is another argument that all Gods were fictional to begin with, all of them stories to personfiy occult forces. Belief, desire, and worship brings them to life. Much like the magical practice of creating egregores.
I don't work with the Lovecraftian pantheon personally, however, I would do research befor either accepting the practice as valid or dismissing it as fictional and fake.
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