I have tons of these in my sandbed. Nothing to really worry about unless they get large. I still tend to remove them when I am QT' ing my corals. I know some can be a nuisance especially if they are not bristle worms. Most say that they are good for your sand bed as they do aerate the sand when they borrow into it, as well as being a detris eater. I tend to leave them go.
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