They could get RasPis below 4th gen running outdated software, I guess. I think I read elsewhere that Debian already had a patch out some time ago, so that number is also likely diminishingly small.
Question if I update my server and it has the new SSH (patched) package. Is that enough or do I have to restart the server as well? How can I check if the old SSH is in use currently?
For anyone in RHEL / Fedora land (or using dnf somewhere else), try dnf needs-restarting to list executables that have mismatched files on disk vs memory. The -r flag will hint if a reboot is needed (due to things like kernel or glibc changes)
The packages in most distros will also restart the server for you. Any existing SSH sessions will technically be running in vulnerable versions, but if I'm understanding the vulnerability correctly this isn't a problem, as they won't be trying to authenticate a user.
If you want to be sure, you can manually restart the ssh server yourself. On most distros sudo systemctl restart sshd should do it.