So what fixed this for me was running Proxmox with kernel 6.1
The forum I found it is here.
I reset UEFI to default with an update and after boot there was no more error even with passing through the GPU and Hyper M.2 card.
I don’t need to set the Gen Speed or anything.
However there is another issue with the ROMED8-2T and my LSI 9201-16i that I just made a post about yesterday here.
Other than that I think this has been fixed for me now.