They have German and Finnish data centers, as well as American. Pricing is pretty competitive, and unlike anything super autoscalable in AWS, it’s predictable.
They offer an email service that comes with their basic webhosting service, which is a bundle that costs less for 100 inboxes than Google Suite or Proton for just one user, if all you need is email.
My server with email (from which I’m posting this) is hosted by Hetzner. I have reverse DNS, full control over the DNS entries, nothing seems to be on any block lists.
I don’t know if they provide BSD images but you can boot every server into a rescue Linux from which you should be able to download whatever you need.