I use a Q-tip, but I find it extremely uncomfortable to go very deep with it. The feeling of anything touching the ear drum is highly unpleasant. I don't do it very often though, maybe once every month or two since there's rarely anything in there more often than that.
Like Findecanor, I had to have a clump of ear wax removed at the doctor's office a few years ago after some persistent ear pain. The nurse used a water gun contraption, which really hurt. She instructed me to tap out when the pain got too bad so she could back off for a second, which I had to do a couple times.
Interesting difference between populations: I remember reading that people of European decent tend to have yellow, sticky ear wax and people of East Asian decent tend to have white, dry ear wax. Idk where other ethnicities fall on the ear wax spectrum. Mine is more dark amber, so idk what's wrong with me.