Registration-spammed forum with aliased email addresses despite "normalize_emails" enabled

My forum was registration-spammed a few months ago using aliased email addresses.

Activation reminder emails were also sent, doubling the number and sending a total of around 1000 emails in a very short time.

I was advised to enable the normalize emails setting. The default state is enabled and was never changed. The admin actions log confirms that.

Should this setting have prevented this abuse?