Currently using an X11 system, on an AMD GPU; the window manager is FVWM because I'm a nostalgic old git.
I use two screens, and most games tend to full-screen on one.
Had decent enough results with Proton via Steam on many titles. A few of them needed to be explicitly tagged "don't draw a frame around the full screen window" in the FVWM config, and I had a few where movies did that "show a test card instead of video" but no biggie.
I've recently had two harder nuts to crack. I'm using two games with Lutris: The SNK 40th Anniversary Collection (it was $20 cheaper on GOG than Steam at the time!), and Genshin Impact.
Both of them play fine, so long as you keep the mouse within the full-screen capture area. But if I leave the window (say, using a keyboard combination or pulling the mouse outside the capture area), the games go blank.
SNK shifts the black box somewhat off of its original position, and I think Genshin just goes blank.
I experimented a bit with SNK's "wine configuration" options in Lutris.
"Automatically Capture the Mouse in Full-Screen Window": This reduced accidental leave-the-screen problems, but still had failures if you used a keyboard command to switch windows.
De-selecting "allow the window manager to control the window" causes the window to turn into a weird Win95-esque "mini taskbar icon" instead of going black Pressing the "restore" and "maximize" buttons resizes it to near full screen but retains an ugly Win95 style title bar. Once you restore it in that mode, it's actually well-behaved-- you can move the mouse in and out of the window without it breaking (it seems to freeze when you move the mouse away, but that may be intentional) But still, the weird titlebar and it not working that way until you first "freeze and unwedge it" sucks.
Genshin, at least sometimes, could have its black box minimized and restored and come back to life. I've yet to try the Wine tweaks there.
I suspect the common theme might be that the games are trying to deactivate themselves when they lose focus, but not doing so gracefully. ISTR Genshin on Windows would minimize itself if you switched to another task, and I haven't tried SNK on actual Windows. I'm wondering if there's some unified fix that tells the game it's running in a single screen and when the mouse leaves, it just stayed there. There seems to have been some sort of "cage Wine apps in a virtual desktop" feature, but it seems to no longer be supported.