I use it everyday as part of my setup, and I've been very pleased with it. It can utilize keybinds, settings, and even entire extensions from Neovim. I even use the same init.lua settings file as my actual Neovim install, by checking for an environment variable that only VSCode sets to not load extensions/bindings that don't apply to VSCode.

For example, I have ']c' bound to jump to the next changed hunk in a file. This works by leveraging a git plugin in Neovim proper, but since VSCode has built-in git support, it instead invokes a VSCode command. Even more complex extensions like Hop/Easymotion work great. I've had much better experience with it than the other Vim binding extension, which just recreates the Vim experience with native VSCode features.

I'm also using the NeoVim plugin right now. Before that I was using the other popular one (can't remember the name, VSVim or something), but the latest version gave issues so I switched.

Only thing that's not working for me is when CodePilot changes some code, I can't edit any more text in that tab. Close and reopen works again.

I guess it will always have peculiarities, but it's still better than anything else in my opinion.