So this only happens in-game and I've done a clean reinstall of windows and I scanned with malwarebytes and it's still there.
I'm using Windows 10 Pro 64bit
5700 XT
Ryzen 5 3600
650W PSU
16GB DDR4 RAM ASUS ROG Strix B450-F GAMING ROG STRIX B450-F GAMING BIOS 3003
Here's a video of the issue: