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Can’t speak for other goes, by within NA I’d say:
McK - Healthcare (basically all - systems, biotech, etc.), Traditional Financial Services, Government, Ops
BCG - HC insurance / payers, Consumer goods, Food / agriculture, grocery / big box in general
Bain - PE / growth equity, tech and fintech in particular (likely driven by PE / growth equity strength), media, consumer goods
BCG: consumer, digital
McK for government / public sector
M for Ops
F
Bain, tech
BCG payer work (not great with providers)
Bain for consumer goods
McKinsey - Biotech
BCG - Big Pharm
It is largely geography-dependent in my experience