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Yeah, like at my age, I should have a girlfriend, settle down, and have kids. But that is not my problem. I can barely take care of myself so what if I add more responsibility i didn't ask for lol.

I just constantly ignore my to do list because otherwise I would never relax.

Meh, not really. Things to sort out come in batches and are spread out.

For me the surprising thing about adulting was how many exams there are. I genuinely believed that once I got my degree I would be done with studying for exams but no, there's always another one to pass. Language exams, professional certifications, license exams for different hobbies. This shit never ends.

Depends where, the personal circumstances, and how much money one has. In "civilization", it's so horribly easy to succumb to existential dread and chronic anxiety.

There are places where your waking life is figuratively or literally flipping burgers, constantly bombarded by requests for something to be fixed, and you're given little to no time to pause except for which to go home, eat and sleep. Then there are places where you could wake up one morning and just walk out into the beach, trying to figure out what to do next.

Thats why procrastination is such a big thing

I feel like thinking this just speaks to the level of dysfunction with which we were raised. We are taught that the point of life is to go do things or drive a car or watch Netflix. The point of life is to survive and reproduce. Everything else is supposed to be secondary.

Is there always something that needs to be sorted, or are we all just monkeys with OCD?

I don't see it that way. If there's always something you have to be doing, then that's the life you chose. Yeah, there's some things that are usually necessary. Your job will take a third, sleep another third and the rest is up to you to decide. If the remaining third is spent doing things you don't like doing the majority of the time, then change it.
My life is fucking boring, but I can say I spend my third doing exactly what I want. There's odd things in there that come along and take time away but they aren't a constant. Want to live this life? Say no, do less, chill more. Life is what you make it.