I wonder if this is partially down to the autism, but I can get really lost in stuff like first person shooter games.
I have this issue more with 6th gen console era games and earlier. When I played Doom and Duke Nukem 3D, I often got lost. I think it’s down to the more “primitive” graphics. Things look more “samey” (because there’s literally less textures in these games.)
Oh my god Metal of Honor: Rising Sun was ass. Specifically the Guatemala level.
Do you like various shades of green and brown? Because lady do I have an Unreal Engine map for you to enjoy!
Everything looks identical. I fucking mean it. You’re surrounded by the same exact low res 2D texture of 👋forest👋 plastered onto the walls surrounding the playable area.
There are no landmarks. There are multiple circular paths. The path forward is extremely difficult to pick out.
Fucking god awful, absolutely sucked any and all good will I had towards the game.
I do wonder if this is related to me also being absolutely TERRIBLE at looking for stuff. Especially if it’s someone asking me to grab something I’ve never seen before.

well, there is like a lot of games that have this issue, especially older ones – I actually think that newer graphics are harder for me to parse. Simple polygons translate well for me. Extremely graphic detailed worlds have so much information going on that I get lost in all the detail.
however, one of my earliest experiences playing everquest involve me having great anxiety about dying in a spot that I wouldn’t be able to find my way back to, because that game was so massive and hard for me to find my way around. I think I fell off a boat and drowned and deleted my character. 😂