I'll admit I haven't read the books, but I've seen in subtitles and other things that knights in Game of Thrones are addressed as "Ser".
It seems to me that fantasy works like this have similarities to medieval Europe and have aristocracies, knights, kings, queens, lords, ladies and so on.
The Kings, Queens and Lords in Game of Thrones use the usual real-life counterparts, so why is "Ser" an outlier when knights in England are addressed as "Sir"?