- Edited
Gave Windows 10 2004 (well 20H2, but I can confirm the rendering is exactly the same) another shot. Besides eye strain and face muscle tightening, it also makes my legs twitch after a while. Intel’s 26 and 27 drivers are worse than an old 22 which I found to work with my UHD 630, but it’s not good enough. This machine is usable for me on Windows 2015 LTSB with the 22 driver. I have been using that machine for up to eight hours a day (only once a week, other days are three hours), which is unheard of for me since probably over 12 years ago. Still not as bad as Kubuntu 20.04 which was instant torture (could not get anything non-Ubuntu based to load).
The twitching though, that pretty unusual symptom for me, and I've only experienced it on one other device (Huawei P30).
Since I'm rambling, I'll mention that I finally found a comfortable browser for myself, Pale Moon. Chrome is uncomfortable on any Windows version. Waterfox Classic didn't work for me either. I find Pale Moon streaming Netflix is very comfortable, much better than the PS3 (Which isn't all that comfortable. I just thought it was in comparison to much worse options).
Anyway, the dithering pattern on the same wallpaper (I presume. It's noise. Like the snowy channel on old TVs) is much more pronounced and harsher on Windows 10 2004. I am running ditherig on both and compared on the internal panel and on an external monitor.
I have the exact same machine (replacement for the first one, which has some problems, such as turning off when you move it quickly, but Dell never asked for it back) set up with 2015 LTSB, and I can actually feel the muscles in my face and especially around my left eye unclench when I look back over to it.