The phrase often exaggerates to stress someone's usual behavior, but they actually do other things too. All he ever does is sleep, but he also has a job.
Pro Tip 2/3
Emotional Tone
It can express frustration or admiration, depending on the speaker's tone and the activity mentioned. All she ever does is help others; she's so selfless.
Pro Tip 3/3
Informal Context
The phrase is casual, often used among friends or in informal settings, not in professional environments. In meetings, all he ever does is text under the table.