Gyrokinetic simulations of plasma microturbulence in the Helically Symmetric eXperiment are presented. Using plasma profiles relevant to experimental operation, four dominant drift wave regimes are observed in the ion wavenumber range, which are identified as different flavors of density-gradient-driven trapped electron modes. For the most part, the heat transport exhibits properties associated with turbulence driven by these types of modes. Additionally, long-wavelength, radially localized, nonlinearly excited coherent structures near the resonant central flux surface, not predicted by linear simulations, can further enhance flux levels. Integrated heat fluxes are compatible with experimental observations in the corresponding density gradient range. Despite low shearing rates, zonal flows are observed to regulate turbulence but can be overwhelmed at higher density gradients by the long-wavelength coherent structures.