The PSF can become very small when simulating wide field imagers. In DREAMS (irdb PR forthcoming), the FWHM of the PSF is about the size of a pixel. Simulating a star with an analytical PSF will result in a flux that is too low when the PSF is so small.
My guess is that the PSF is sampled at one (or a few) positions for each pixel, which will lead to an underestimate of the flux, because it will probably sample the wing. It could also overestimate the flux when the sampling happens to be exactly at the peak of the PSF.
A proper test needs to be created for this.