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.