I finally figured out the problems I've been having that I thought was alignment related.
The front end felt like it was bottoming out over small bumps despite the fact that it should have had a ton of uptravel available. Steering has a ton of bump steer while braking over road imperfections. Hard impacts on turns cause the steering wheel to turn further into the direction of the turn, like the wheel coming off the ground for a second. Turns out that it is 'bottoming' via coil bind.
The Moog coil springs I used on my 2018 coil-over build sagged about an inch after a year. Normally that's not a problem but because cheap ass Moog coil springs have almost twice as many coils vs stock, eibach, etc. this sagging brought the coils even closer together so now they coil bind constantly. Braking causes nose dive, which compresses the coils even more, so driving over any road imperfection bind the coils and gives the bump steer since the truck is being shoved around by the lack of suspension. Impacts cause the same thing on turns, the wheel can't go up so it slams into coil bind causing the steering to go crazy.
The plan for now is to lower the 5100's from the 1" setting to the lowest one, I don't know how much extra space that will allow between the coils but I'm hoping it's enough to make the bind something I can live with until I get rid of the Moog trash for good. I ordered an 18mm strut nut socket last night and probably going to order a 3" spacer today to compensate for the preload lift reduction and not mess with my alignment that much.