I refuse to believe that this is a hardware problem. We know for a fact that lowering refresh rates reduces or eliminates the problem entirely, but this is an unacceptable fix. We are not able to fully utilize our hardware as intended. Any power supply swapping etc could simply be placebo. I believe the problem lies within Windows itself, and the power management there. Many users indicate fixes revolving around this system, but it does not fix for all, as not all have the same system specs and use-case scenarios.
I, for one, have a three screen set-up for gaming.
3090 ZOTAC
i9-10900k
800w power supply
one monitor at 1080p 120 hz
another monitor at 4k 120hz
85" sony 4k at 120hz.
After trying a user's suggestion of turning off gpu hardware assist in settings-display-graphics settings the issue actually got worse.
I dealt with this problem over and over and it's my sony tv that is going black, which I use for computer gaming on couch with controller. Eventually I caved and set everything to 60hz and never had an issue. Only to reset back to 120hz a year later to see if a gpu driver or windows update fixed the issue, and it hasn't.