I also have the 2019 MacBook Pro and it's been a dumpster fire. I'm running 3x 4K monitors and it's completely unusable with the dedicated GPU (the 5500M).
I spent months trying everything I could think of: downgrading to Catalina, turning off transparency/shadows, running as few background services as possible, and not using scaling at all (which was the most effective solution). And this was only with 2x 4K monitors; I added a 3rd more recently.
Nothing worked. Thermal throttling and insufficient sustained power were two problems I was able to identify (the 96W adapter is not sufficient for the system's peak power load, so it uses the battery to get over 96W of draw).
Eventually, I broke down and bought an eGPU (Blackmagic eGPU) which solved the problem. For about ~$700, I'm now able to use my machine without a hiccup. Not a great or affordable solution, but it has made my $3,100 machine usable again.