Not using pageflips on recent AMD RDNA 4 gpu's on Ubuntu 24.04, Debian 13

That’s not good.

Does VBLSyncTest or PerceptualVBLSyncTest with the optional ‘useVulkan’ flag set to 1 work?

If you run XOrgConfCreator(1) for expert mode, and answer “Use advanced settings?” with yes and “Use modesetting driver …?” with yes and select the created xorg.conf, does that change anything?