Nvidia

Installed with 
local/nvidia 570.124.04-3
    NVIDIA kernel modules
local/nvidia-utils 570.124.04-1
    NVIDIA drivers utilities
originally installed 
nvidia-open
570.124.04-3
Sway
BOTH  caused weird artifacting/flickering in the bottom right of the screen
This is not caused by scaling but from having DSC enabled on my monitor.  Disabling this setting fixed the flickering. This limited the frame rate to 120 4k instead of 240 4k.
Hyprland
No Flickering works fine with DSC