Hedonistic utilitiarians, however, do not acknowledge that it's possible, or that it's valid, to care about things that are not pain or pleasure. All these people who claim to care about all sorts of other things must be misguided!
I don't think that hedonistic utilitarianism necessarily implies moral realism. Some HUs will certainly tell you that the people who morally disagree with them are misguided, but I don't see why the proportion of HUs who think so (vs. the proportion of HUs who think that you are simply caring about different things) would need to be any different than it would be among the adherents of any other ethical position.
Maybe you meant your comment to refer specifically to the kinds of HUs who would impose their position on you, but even then the moral realism doesn't follow. You can want to impose your values on others despite thinking that values are just questions of opinion. For instance, there are things that I consider basic human rights and I want to impose the requirement to respect them on every member of every society, even though there are people who would disagree with that requirement. I don't think that the people who disagree are misguided in any sense, I just think that they value different things.
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