There are still lots of SID/STAR's that can be flown with VOR/DME. In the U.S. its still very common; In Canada its rare. However, the STAR will usually end in vectors to final once your 20-30 miles from the airport. And its probably (for me at least) one of the most challenging and fun things to do in FS.

Check out the Van Nuys 9 departure out of KBUR.

http://skyvector.com/airport/BUR/Bob-Hope-Airport