Like worrying about the first tiny scratch on your new car or new phone. Eventually it happens, you feel bad, but then are free from the burden of perfection.
The effect is also strengthened when you're competing with your peers for grades; it's been several decades now but I still remember someone beating me by 0.7% going into the final exam, and me finishing the course 0.1% ahead of him. It's interesting I still remember the differences, but not the grade (high 90s, probably) nor the course.
(Contrary to popular western culture, there are groups who enjoy "grade-racing" --- and from first-hand experience, I can say it was very motivational as well as stressful.)
Taking the "good enough" approach in life has probably left a lot of potential on the table, but it really has gotten the maximal utility out of any work I put in. It's probably ~50%-100% more work to go from a B+ in life to a straight A.