i'd say 99% of usecases will be served fine with Postgres, or a managed instance via AWS
I’d love to use postgres, and have in various times in the past and love it (it never broke) — but one machine isn’t nearly big enough for really any of my current applications.
ydb is not clear if easier to maintain at scale.
I have high hopes for Neki from Planetscale but then again if you are not stuck on Postgres for whatever reason, Vitess with MySQL is about as battle tested as it gets.