Kinda funny game, though if you want a bit more fidelity, but less control, Microsoft Flight Simulator has a pretty good version of SF.
Though as for games that use SF (but not 1:1) Watch Dogs 2 is a pretty good proxy, though my favorite video game interpretation of San Francisco is from GTA San Andreas (San Fierro)
I do adore San Andreas but I think San Fierro is one of the weakest areas. My metric for how accurate they are is a sense of "oh I've been here before" and I really only get that in a couple of spots, as compared to Las Venturas (Las Vegas) and Los Santos (Los Angeles) where I could actually go to the cities in real life and feel like I knew where I was going because I'd played San Andreas enough. Compared to those two, San Fierro feels like a Backrooms-style dreamlike compression of the real thing, where a lot of stuff has been moved around. But parts of Haight-Ashbury, Pac Heights, Nob/Russian Hill, Polk Gulch, Ocean Beach and so on are still fairly distinguishable and correctly arranged.
Depends how you define fidelity. The mesh resolution in MSFS isn't any higher resolution. Looks about the same.
I'm still holding out hope for a modern Fallout in the bay area.
Ha, Microsoft Flight Simulator is the most uncanniest valley thing I think I've ever played with; I'm from Tallahassee and it's weird to fly around a very high-fidelity, realistic, inaccurate version of a city I've lived in my entire life.
Not bad, though based on the screenshot Lake Merritt in Oakland looks not to scale.
Very impressed with the Watch Dogs series of games for this purpose.
We recently used Watch Dogs Legion to prep for a trip to London to get more familiar with the city. Set the game on peaceful mode and just walked around and did virtual sight-seeing instead of playing missions. It's a surprisingly good recreation of the city, and we really appreciated getting some familiarity with the place before we visited.