I used to make maps by hand. Over time I got better and better at holding on to where I was. I’ve read studies that playing 3d games increases spacial awareness, so it might get better over time.
Other options I do when I’m too meh to bother is mods to add maps and quest tracking if the game doesn’t already have it
I’m ded. Although my big trick lately is just adding 3x to whatever I think, and it works pretty well