You aren't alone, I've been having this issue since V40 as well and it's
completely ruined VR for me. Without sharpening, everything is a massive
blurry mess that even Reshade sharpening or injecting FSR/CAS sharpening
won't fix. Oculus' own solution...
Can also confirm ever since one of the V41-V43 updates that Link
Sharpening is completely broken on Quest 1. No frames are dropped, no
reprojection, no strange issues with CPU/GPU usage, 2.2Gbps USB3 Cable,
but massive stuttering and jittering in Ocu...