I recently wanted to check it out and wrote a small app that had good use of pgvector for embeddings, custom queries with ctes for a few complex edge cases, and it was all quite smooth.
Now it might not be at the level of active record, ecto or sqlalchemy but it was quite decent.
If you know your sql at any point it gave me options to drop down a level of abstraction, but still keep the types so as not to break the abstraction too much for the rest of the code.