Just to add my own experiences on this topic. My desktop machine (2060 Super, Ryzen 5900x) has a 27" QHD 165 Hz LG monitor with G-SYNC. Everything runs great on this screen no matter what settings I change.
My proto-cabinet (3060Ti, Ryzen 3700x) has a newer 27" QHD 180Hz LG monitor that is G-SYNC compatible (not full G-SYNC). On this machine, I suffer from being able to see individual frames of the ball movement, when the ball is moving quickly. This is hard to describe, but what I mean is that when the ball moves fast, the movement decomposes into an image of the ball, then a gap, then another image of the ball further along its line of movement. The movement itself is fine - there is no stutter or judder anywhere, ball-paths are silky smooth and response lag is minimal. It's just that the illusion of high-speed movement is somehow lost. The problem is that once you notice this, you can't unsee it. For my instance, the best solution was to disable G-SYNC in the Nvidia control panel. Now I have a monitor refreshing at 180 Hz and a GPU running anywhere from 220 FPS and upwards. I still notice the individual frames of the ball movement, but it's much better than before. Capping the GPU at 175Hz or whatever makes no difference to me, nor does enabling or disabling VSync in VPX (or on the Nvidia control panel).
FWIW, now that I've "seen" this ball movement oddity, I see it too on the desktop, though much less obviously. Like I said, once you see it, it's hard to unsee. I guess the fundamental problem is that a 27" monitor (615mm long), refreshing 180 times a second, will create a new frame every 5.5 ms. Assuming the ball can travel from bottom to top of the screen in 200ms or so (guess?), that's only 36 frames, so there's a visible offset of 17mm in the ball position between each frame.