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.

I quit playing Star Wars Dark Forces because I spent like a half hour running in circles around a map looking for a key? A door? I don’t remember. But I could not progress. Getting lost like that is my biggest pet peeve with games. Like I don’t want Skyrim compass in all games and sometimes getting lost and finding interesting encounters is fun. In games like that, it’s just frustrating though.
I’m pretty bad with directions irl too and need to force myself not to use GPS and walk a route a few times to remember where I’m at. Really pay attention to landmarks or street names.