Solved from a youtube comment:
When going from nvidia to AMD you need to use DDU in safe mode because there are critical files that windows use that are typically not uninstalled from the drivers (sometimes found in windows/system32 and other critical locations) 1. Uninstall AMD drivers 2. Reboot 3. Reboot into Safe Mode 4. Use DDU to remove Nvidia Drivers: https://www.wagnardsoft.com/display-driver-uninstaller-ddu- Clean and Restart is the option you want 5. It will auto reboot to desktop 6. Reboot in safe mode again 7. Use DDU to remove AMD Drivers (it will auto reboot) 8. Reboot back to desktop and install AMD Drivers 9. Reboot the PC even though AMD driver install doesn't force a reboot. "
So basically I used DDU in safe mode and uninstalled all drivers, Nvidia and AMD, until it was clean. Then i installed the AMD 18.9.3 driver and I'm no longer having an issue.
I also did a ton of other work but this appears to have been the fix. Thank you.