[cxam]

If you're comparing this to a normal DB, the biggest worry should be that it's not ACID compliant. Definitely something to consider if your data is important. The limitations for KV is listed here: https://developers.cloudflare.com/workers/about/limits#kv

You should also consider how you intend to backup the data as there currently isn't a process to do that outside of writing something yourself to periodically download the keys. This will add to your usage cost depending on what your strategy is, for example, backing up old keys that gets updated vs only new keys by keeping track of the cursor.