Find the place on earth you want, adjust the size of the red box to cover the area you want, play with exaggerating height, lowering large water bodies and generate the STL. Download and preview in something like Repetier. I import the STL into VCarve and go from there.
Yeah, that one has 90m resolution, there’s also https://touchterrain.geol.iastate.edu/ which has 10m resolution and the method above gets you down to 1m resolution. Depends what you need.