These are usually indications of a mal-calibration of your filament. More specifically, I’d be looking at flow rate first and then pressure advance. Did you manually calibrate your filament?
Can you print a Voron Cube so that we can see a model that we can reproduce or upload your 3MF to this thread.
Here’s what I am referring to, I posted this on another thread with similar issues.
Here’s an exaggerated affect where pressure advance has really ruined a print.
Here’s another example.
Both threads might have some insights for you.
Here’s the cube I am referring to. See the other threads for how-to.