In a larger, higher power set up, A solid ground will make all the difference in the world. In a smaller, lower power system, you may not even draw enough current to notice a difference.
In most cases, It will just cause the amp to run a little less efficiently, limiting the power output to match the amount of current that can be supplied.
In extreme cases, It can cause equipment damage and even fire. As the current draw exceeds the capacity of the ground, heat will be produced as a byproduct.
As a general rule, it is always a good idea to sand the paint from any grounding surface. Whether you are running 150 watts or 15,000 watts.