My sense of direction is fine to good, and as far as I can establish, it's common to visualise "metaphorically". So I'd visualise a route or 3d model as another might visualise honesty - I know what it is, I can precisely express it, but I can't picture it in technicolour. It seems to work well enough that hobbies over the years have included model engineering - including design, fell walking and geocaching. I never needed a 3d model to "see" a plan, even while drawing it, even though I cannot "see" it. Saying "I just know" seems completely inadequate, but that feels like how it works. I can pick up on potential problems where a) might interfere with b). Language gets difficult for this!
I can juggle a model but again metaphorically. I can do it quite easily and it never occurred to me in 50 years that images were an optional component for others. :)
The only other I've encountered with a similar lack of images among my friends reports just the same ability to do direction, map reading and spatial interrelation just fine, without seeing it. Just knowing seems to be enough to do the rest.
Rumination and regret is perfectly possible too - the feelings, the consequences is plenty enough to get that going. The pictures are better on radio also applies - not a literal picture but the feelings and the metaphorical. :)